Helen Urchenko Marianne Gaul Maryette Goebel
4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive
Chicago, IL 60613 11-C #820
Chicago, IL 60613 Chicago, IL 60657
Marion Cardella 4250 N. Marine Dr. #1824
Chicago, II60613
Ofelia Castellanos
3950 N. Lake Shore #1408 B
Chicago, IL 60613
Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B
Chicago, IL 60613
Ronald Winer
720 W. Gordon Terr., 6-H
Chicago, IL 60613
Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613
William Wax
3600 N Lake Shore Dr. #1106 Chicago, IL 60613
Lynn Preis 555 W. Cornelia #2011
Chicago, IL 60657
Jack Marrott 4300 N. Marine Dr. #303
CHICAGO, II 60613
Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613
Eva Levi
4300 N. Marine Dr. #902
CHICAGO, II60613
Mihai Smarandescu 3950 N Lake Shore Dr. #2012C
Chicago, IL 60613
Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657
John Hurm 615 W.Addison #2
CHICAGO, II 60613
Barbara Ostert
3600 N. Lake Shore Drive
609
Chicago, IL 60613
JEAN CIZEK
3600 N. LAKE SHORE DRIVE #1922
CHICAGO, 1160613
Betty Hamilton
3900 North Lake Shore Drive Apt. 10C
CHICAGO, IL60613
Carmelo Vasques
4250 N. Marine Drive #527
Chicago, IL 60613
Ayumu Miura
3600 N. Lake Shore Drive
Chicago, IL 60613
MARIAN HORWITZ Marilyn Smull Barbara Olken
3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr.
#718 #1921 #307
CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613
Robert Milaskey
3930 N. Pine Grove #2305
Chicago, IL 60613
Ursula Carnell
4170 North Marine Drive
#7E
CHICAGO, 1160613
Sandra Honaker 4170 N. Marine Dr. Apt. 14B
Chicago, IL 60613
Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613
Irma Parker 4170 N. Marine Dr. #11J
CHICAGO, 1160613
Irene Wojnarowski
3900 N Lake Shore Dr., 6E
Apt. 6E
Chicago, IL 60613
Hyrhan Orbach 4250 N. Marine Dr. #1516
Chicago, IL 60613
Margie Marcus 4170 N. Marine #9D Chicago, IL 60613
Judy Condylis 4250 N. Marine Dr. #915
Chicago, IL 60613
Bilya Cicekli Florence Brown Marian Dapin
4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr.
Apt. 2305 #1628E CHICAGO, II 60657
Chicago, IL 60613 CHICAGO, II60613
Sylvia Levine
4170 N. Marine Drive
#9J
Chicago, IL 60613
Mary Clark
3740 N. Lake Shore Drive Chicago, IL 60640
Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613
Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657
Chris Rones 4334 N Clarendon #204
Chicago, IL 60613
Sylvia Liss
555 W Cornelia #912
Chicago, IL 60657
Edna Firse Michael Rosenberg Muriel Weinberg
4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr.
#2523 Chicago, IL 60613 17E
CHICAGO, II 60613 CHICAGO, II 60613
Sarah Najera 1460 W.Argyle CHICAGO, II 60640
William Winter 4170 N. Marine Dr. #14A
CHICAGO, 1160613
Mildred Eisenstadt 4250 N Marine Dr. #301
Chicago, II60613
Richard Anders
3950 N. Lake Shore Drive
#1030
Chicago, IL 60613
John Vargo
3550 North Lake Shore Drive #614
Chicago, IL 60657
Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL
Ann Drake
3550 N. Lake Shore Dr. 2417
CHICAGO, II 60657
Dzemal Ikanovic
4848 N. Winthrop, #1314
Chicago, IL 60640
Rose Shure
3750 N. Lake Shore Dr.
16E
CHICAGO, II 60657
Ruth Ross
3550 N. Lake Shore Dr. #2618
CHICAGO, II 60657
Magdalena Sanchez 3950 N. Lake Shore Drive 215-c
Dorothy Troubb 4250 N. Marine Dr. #434
CHICAGO, 1160613
Rose Ross
3600 N. Lake Shore Drive #1011
Chicago, IL 60613
Betty Norman
4250 N Marine Dr. #1924
Chicago, IL 60613
Lawrence Kuhr
3600 N. Lake Shore Dr.
#819
CHICAGO, 1160613
Marvin Benn
4170 N. Marine Drive
Apt. 12K
Chicago, IL 60613
Joyce Quimby 4250 N. Marine Dr. #1933
CHICAGO, 1160613
Regina Llorente
3950 N. Lake Shore Dr.
806B
Chicago, IL 60613
John Boyle
4300 N. Marine Dr.
#405
CHICAGO, 1160613
Richard Michalski 3950 N. Lake Shore #1206B
Chicago, IL 60613
Janet Macdougall 3600 N. Lake Shore Dr. #1801
Chicago, IL 60613
Mits Yamashita 4343 N. Clarendon 1113
Chicago, IL 60613
Sidney Bulmash
4250 N. Marine Dr. #721
CHICAGO, 1160613
Leonard Miller
3900 N. Lake Shore Dr.
#14J
CHICAGO, II 60613
Remedios Ponce Vonda Urban Eleanor Dahl
3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr.
#1806B CHICAGO, II60657 #1101
Chicago, IL 60613 Chicago, IL 60613
Anna Vulekas 3930 N Pine Grove #1116
Chicago, IL 60613
James O'Rourke 4170 N. Marine Dr. #21C
Chicago, IL 60613
Mary Ann David 647 W. Buena 2E
Chicago, IL 60613
Hedwig Parker 4250 N. Marine Dr. #2533
CHICAGO, 1160613
Jimmye Ross
700 W. Bittersweet Place
#809
Chicago, IL 60613
Bertha Cousins 4008 N. Clarendon UnitB
Chicago, IL 60613
Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J
Chicago, IL 60613
Edith Hirsch
3600 N. Lake Shore Drive #1520
CHICAGO, 1160613
Enid Frandzel
3700 N. Lake Shore Drive, #310 Chicago, IL 60613
Nancy Hudson
3900 N. Lake Shore Dr
Apt. 13A
Chicago, IL 60613
Doris Wilterding 4170 N. Marine Dr. #15G
Chicago, 1160613
Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613
Irene Goldfarb 3930 N. Pine Grove #1616
CHICAGO, 1160613
Mary Wagner
3950 N. Lake Shore Drive
#718c
Chicago, IL 60613
Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613
Dorthea Hely
3900 N.LAKE SHORE DR. #12C
CHICAGO, II 60613
Phyllis Marks
4250 N. Marine #1435
Chicago, IL 60613
Nancy Kondo
3950 N. Lake Shore Dr.
Chicago, IL 60613
Jo Joffe
656 W. Buena #2 Chicago, IL 60613
Archie Kirby
4170 N Marine Dr. #7F
Chicago, IL 60613
Barbara Bengsten
3600 N. Lake Shore Dr. #2314
Chicago, IL 60613
Walter Kitt
3750 N. Lake Shore Dr. #10D
CHICAGO, 1160613
Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613
Ann Willey
3950 North Lake Shore Drive #B2010
CHICAGO, II 60613
Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613
Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613
Cecilia Kangles 700 W. Bittersweet #306
Chicago, IL 60613
Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613
Theresa Eck 1458 W. Argyle CHICAGO, II60640
Merry Gorman 4200 N. Marine #801 Chicago, IL 60613
Daisy Driss
3550 N. Lake Shore Dr. CHICAGO, II 60657
Elsie Sichau
3600 N. Lake Shore Dr.
#402
CHICAGO, 1160613
Elvira Semersky 4250 N. MARINE DR. #1401
CHICAGO, IL 60613
Barbara Chapman Eleanore Strunk Doris Endo
3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen
Chicago, IL 60657 #1028 Chicago, IL 60640
CHICAGO, II 60657
Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d
Chicago, IL 60613
Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613
W. Malone
3550 N. Lake Shore Dr. #1817 Chicago, IL 60657
John Hopkins 4170 N. Marine Dr. #18A
CHICAGO, 1160613
Bernardine Trinen 3600 N. Lake Shore Dr. #2806
CHICAGO, 1160613
Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603
Chicago, IL 60657
Martine March 4250 N. Marine Drive 824
Chicago, IL 60613
Gertraud Eberson 3600 N. Lake Shore Dr. #308
CHICAGO, 1160613
Rita Ginenskaya 810 W. Grace #909
Chicago, 1160613
John Twardowski 810 W. Grace St. #2703
Chicago, IL 60613
Betty Cannon
3900 N. Lake Shore Dr.
Apt. 16H
Chicago, IL 60613
Frances Stokes
4250 N Marine Dr. #413
Chicago, IL 60613
Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657
Sondra Rosin
3950 N. Lake Shore Drive
#2205
Chicago, IL 60613
Marvin Berns 4300 N. Marine Dr Apt. 602
Chicago, IL 60613
Lawrence Joseph
3950 N. Lake Shore Drive #1920D
Chicago, IL 60613
Evelyn Russell
3600 N. Lake Shore Dr.
#907
Chicago, IL 60613
Theresa Benoy
3550 N. Lake Shore Dr
Apt. 821
Chicago, IL 60657
Frank Lukes
690 IRVING PARK RD.
#D-3
CHICAGO, IL 60613
Vasil Truchly
4300 North Marine Drive
#904
CHICAGO, 1160613
Emily Klusis
3550 N. Lake Shore Dr.
#1822
Chicago, IL 60657
Priscilla Aguilar 4343 N. Clarendon #411
CHICAGO, IL 60613
Lois RETZLOFF 4343 N. Clarendon #2617
CHICAGO, 1160613
Alba Toro
4343 N. Clerendon
1213
Chicago, IL 60613
Sylvia Thall
3600 N Lake Shore Dr. #2305 Chicago, IL 60613
Rena Berke
3750 N Lake Shore Dr.
#4G
Chicago, IL 60613
Elaine Harris
3750 N Lake Shore Dr. #13H Chicago, IL 60613
Benne Whitlinger 4250 N. Marine Dr. #603
CHICAGO, II 60613
James L. Horn
3900 N. Lake Shore Dr.
Apt. 17D
Chicago, 1160613
Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657
Charlotte Seinfeld PARK RICHEY Natalie Saltiel
4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive
#1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613
Beverly Ashford
672 W. Irving Park #G2
Chicago, IL 60613
Roy Granberg
3550 N. Lake Shore Dr.
#417
CHICAGO, IL 60657
Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613
Donine Livingston 555 W.Cornelia 1004
Chicago, IL 60657
Anita Po
3600 N. Lake Shore Dr. Apt. 421
Chicago, IL 60613
Sonya Panos 3930 N. Pine Grove #603
Chicago, IL 60613
Margaret Coogan
3550 N.Lake Shore #603
Chicago, IL 60657
Renee Schwartz 4250 N. Marine Dr. #1922
CHICAGO, 1160613
Marcelle Pour
3750 N. Lake Shore Drive
#5B
Chicago, IL 60613
1
Rosemary Blume 4250 N. Marine #2604
CHICAGO, II 60613
Pearl Grau
4250 N. Marine Dr.
#1309
CHICAGO, 1160613
Victoria Rosa 810 W. Grace #1708
Chicago, 1160613
Ruth Singer
3930 N. Pine Grove
CHICAGO, 1160613
Claire Buckner
3550 N. Lake Shore Dr.
CHICAGO, II 60657
Joyce Penner 4250 N Marine Dr. #1733N
Chicago, IL 60613
Robert Comein
4170 North Marine Drive
#7B
Chicago, IL 60613
Mary Lambros
3600 N. Lake Shore Drive
1415
Chicago, IL 60613
Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613
LOUETTA IRWIN
3600 N. LAKE SHORE DRIVE
#1501
CHICAGO, IL 60613
Sidney Kaz
555 W. Cornelia #1411 Chicago, IL 60657
llsa Weil
4250 N. Marine Dr. #430
CHICAGO, 1160613
Mary Smelser Mary Ludwig Leo Prath
3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr.
Chicago, IL 60613 #12C Chicago, IL 60613
Chicago, 60613
Alice Fox
3950 N. Lake Shore Drive
#1811
Chicago,
Adrienne Singer
3900 N. Lake Shore Dr. #10J
Chicago, IL 60613
Paula Mathieu
3550 N. Lake Shore Drive
Chicago, IL 60657
Rhoda Kachalon 4200 N. Marine Drive 60613
Zilha Melkic
4848 N. Winthrop #407
Chicago, IL 60640
Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613
Ernest Casper
4250 N. Marine #2204 Chicago, IL
Begona Uribe
3550 N. Lake Shore Drive
#2224
Chicago, IL 60657
Esther Witek
4170 N. Marine Dr. #21M
Chicago, IL 60613
Georgette Spertus 4250 N. Marine Dr. #1702
CHICAGO, IL 60613
Laurie Brewster 810W. Grace #2003
CHICAGO, 1160613
Isabel Carpio
3600 North Lake Shore Drive #201
CHICAGO, 1160613
Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613
Fred Heilizer 4170 N. Marine Dr. #12E
CHICAGO, 1160613
Lois Mayer
3900 N. Lake Shore Drive #22J
Chicago, IL 60613
Judi'th Corbeille 700 W. Bittersweet Apt. 408
Chicago, IL 60613
Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613
Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613
Helen Coleman 4250 N. Marine Dr. 1024
Chicago, IL 60613
Shirley Lynn
4250 N Marine Dr. #909
Chicago, IL 60613
Alberta Rotto
3600 N. Lake Shore Dr.
#1320
CHICAGO, IL 60613
Lorraine Goldberg 4170 N. Marine Dr. #23E
CHICAGO, II 60613
Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL
Milagros Rivera 3600 N. LSD #1521
Chicago, IL 60613
Sofiya Zarkhina 810 W. Grace #608
Chicago, 1160613
Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657
Ida Lockett 555 W. Cornelia #1110
Chicago, IL 60657
Louis Calandra 4170 N Marine Dr 24E
Chicago, IL 60613
Helene Herson
3600 N. LAKE SHORE DR.
#1601
CHICAGO, II 60613
Bridget Semper
3930 N. Pine Grove Ave. #2001 Chicago, IL 60613
Ruth Swislow
3920 N. Lake Shore Drive
Chicago, IL 60613
Louise Klis
3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613
Zola VanDeraa 4423 N Beacon Chicago, IL 60640
Elizabeth Ambo
555 W Cornelia #1008
Chicago, IL 60657
Michael Kirk
3950 N. Lake Shore Drive, #1500 Chicago, IL 60613
Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714
Chicago, IL 60613
Dorothy Chapman
4250 N. Marine Drive #309
Chicago, IL 60613
Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613
Don Karper
4170 N Marine Drive #22A Chicago, IL 60613
Costas Petros
3600 N Lake Shore Dr. #1201 Chicago, IL 60613
Elaine Manilow
3750 N. Lake Shore Drive
2c
Chicago, IL 60613
Joseph Nieminski 536 W. Cornelia Apt. 1N
Chicago, IL 60657
Claire Glasser 4250 N. Marine Dr. #1136
CHICAGO, II 60613
BARBARA HENNEY 3600 N. Lake Shore Dr. #1918
CHICAGO, 1160613
Larisa Bogach
KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613
Lindsay Humpal Denise Benham Lenore Glanz
717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr.
719 W. Montrose Chicago, IL 60613 Apt. 405
Chicago, IL 60613 Chicago, IL 60657
Jessie Alford 4250 N Marine Dr. #607
Chicago, IL 60613
Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613
Ines Lopez
3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613
Jose Buergo
3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613
Marion Nathan
3900 N. Lake Shore Dr.
Apt. 12A
Chicago, IL 60613
Steven Spinuzza 4300 N. Marine Dr. #1704
CHICAGO, 1160613
Nancy Schmidt 4250 N. Marine Dr. #1021
CHICAGO, 1160613
Robert Leetch 617 W.Addison #1
Chicago, IL 60613
Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A
Chicago, IL 60613
James Gaebe John Staller Tomas Bissonnette
3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon
Chicago, IL 60613 Chicago, IL 60613 #1001,1002
Chicago, IL 60613
Lynn Welter 4707 N. Magnolia Apt. 1S
Chicago, IL 60640
Carol Browning 555 W. Cornelia #710
Chicago, IL 60657
Franklin O'Leary
3600 N. Lake Shore Drive
605
Chicago, IL 60613
Mary Metag
3520 N. Lake Shore Dr. 4M
CHICAGO, II
Olga Stiefel
3600 N. Lake Shore Dr. #1420
CHICAGO, II60613
3/1 In
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1
Status:_ Reason:.
014*001*******5-DIGIT 60657 PREIS, LYNN W.
555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739
Claim Number: 1021375
Index Number: 1421305030 1209
Waief Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i
Status:_ Reason:
014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904
Claim Number: 1017729
Index Number: 1421111007 1186
Water Account Number: 300530125360
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: HELEN SHILLER of Ward 46.
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.
he undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
'lease Print Name
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 201 1
-111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 -
007*001 *******5-DIGIT 60613 BERKE, RENA
3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231
Index Number: 1421106017 0000
Water Account Number: 463285463285
3/V//
Telephone 312-744-3380
For Official Use Only: Ward:_-
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019904
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein.
OWNER SIGNATURE/ f l/-Ji^L^ DATE
t talsitication nerein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
in).?: i?
■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■
014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728
Index Number: 1421305030 1142
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019340
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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
OWNER SIGNATU
Very Truly Yours,
Edward M. Burke
tand I am subject to
ifiUjties for perjury of falsification herein.
DATE ^1^1 \\
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll
Status:_ Reason:.
007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342
Claim Number: 1019258
Index Number: 1416304039 1216
" Water Account Number: 463400463400"
201 I SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
-Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-!
Status:_ Reason:.
007*001*******5-DIGIT 60613 HORN, JAMES L
3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455
Claim Number: 1022730
Index Number: 1421101035 1088
Water Account Number: 463252463252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .
I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATJ
Very Truly Yours,
ill ft(
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000835
1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111
007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339
Index Number: 1416304039 1161
Water Account Number: 300530331440
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
e undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
DATE
30//
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11
Status:_ Reason:
007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715
Claim Number: 1019541
Index Number: 1416301041 1824
Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill
Status:_ Reason:.
007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644
Claim Number: 1019907
Index Number: 1421110020 1232
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
ilhrllillhl",V"h1MThl,liilIHMllHllHllllil
Status:_ Reason:.
007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758
Claim Number: 1003502
Index Number: 1416301041 1844
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Cliairman
February 18, 201
City of Chicago
i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m -
007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019038
Index Number: 1421101034 1148
Water Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/lownhouse 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 I, 2011.
_the undersigned, on oath,
Please Prim Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
1)1114411
II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!,
007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005248
Index Number: 1416301041 1777 Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11
007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003134
Index Number: 1416304039 1093
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein.
OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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. Btirke Cliairman
February 18, 201
City of Chicago
11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11
014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805
Index Number: 1421112012 1048
Water Account Number: 300530125209
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name (
/ l
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do hot 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
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11
Status:_ Reason:.
015*001 *******5-DIGIT 60657 URIBE, BEGONA
3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869
Claim Number: 1017731
Index Number: 1421111007 1581
Water Account Number: 300530125360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE
w1
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111!
Status:_ Reason:.
007*001*******5-DIGIT 60613 LOPEZ, INES
3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446
Claim Number: 1003170
Index Number: 1421101034 1559
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
I_\ KJ S LO ^ *Z_tne undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll
Status:_ Reason:.
007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102
Claim Number: 1022399
Index Number: 1421101034 1390
Water Account Number: 590406463257
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
OWNER SIGNATURE.
DATE.
3 */"
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill
Status:_ Reason:.
015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807
Claim Number: 1018173
Index Number: 1421 111007 1059
Water Account Number: 300530125360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
Alderman Edward M. Burke Chairman
City of Chicago
7.
Telephone 312-744-3380
February 18, 2011
|.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I,
015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019347
Index Number: 1421111007 1463
Waler Account Number: 462479462479
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*//
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
-^^0228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
in
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1
Status:_ Reason:.
021*015******MIXED AADC 606
LUKES, FRANK J.
509 SHIP ST # 206
SAINT JOSEPH, MI 49085-1118
Claim Number: 1015971
Index Number: 1416305021 1023
Water Account Number: 300129024908
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
-11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 >
007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414
Index Number: 1421101034 1378
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_1
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018233
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
undersigned, on oath.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein.
OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111
007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552
llll-h-1
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018214
Index Number: 1417407053 1014
Water Account Number: 300530313327~ '■
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
, Off-m-r <= Raver
Jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein.
OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?///
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
3|1
Telephone 312-744-3380
February 18,2011
'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll
012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011019
Index Number: 1417123021 1004
Water Account Number: 300530501506
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein.
'tt&JL
OWNER SIGNATURE Very Truly Yours,
ATE fr-SL-SL -&d I (
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'"
Status:_ Reason:.
007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744
Claim Number: 1000036
Index Number: 1416301041 1336
Water Account Number: 300129030347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whemer 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.
I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
A
Telephone 312-744-3380
February 18, 2011
-V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11-
007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020156
Index Number: 1421101034 1014
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
ie 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.
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
-11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1
Status:_ Reason:.
007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721
Claim Number: 1019286
Index Number: 1416301041 1217
Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:__
r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin
ii
Status:_ Reason:
007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726
Claim Number: 1019675
Index Number: 1416301041 1332
Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE . ? - / - //
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756
Status:_ Reason:.
Claim Number: 1018951
Index Number: 1416301041 1820
Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Very Truly Yours, /
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:
007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602
Claim Number: 1009026
Index Number: 1421110020 1001
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
been paid and that I understand
Alderman Edward M. Burke Chainnan
City of Chicago
Telephone 312-744-3380
February 18, 2011
|T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l
007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019690
Index Number: 1421106017 0000
Water Account Number: 463285463285
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
Status:_ Reason:.
015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839
Claim Number: 1019290
Index Number: 1421111007 1077
Water Account Number: 462478462478
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein.
OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE.
Very Truly Yours, '
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
'^fSNfr 228
City of Chicago
5/1 l\
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M
Status:_ Reason:.
007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333
Claim Number: 1003442
Index Number: 1416304039 1121
Water-Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 UJ I I'd. u)t»jT<=,C the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
=^8^228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i
Status:_ Reason:.
007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463
Claim Number: 1018220
Index Number: 1421101035 1101
Water Account Number: 300129027105'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
undersigned, on oath,
Please Print Name
^^228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli
Status:_ Reason:.
007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340
Claim Number: 1005211
Index Number: 1416301039 1169
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii
Status:_ Reason:.
007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672
Claim Number: 1022394
Index Number: 1421110020 1293
Waler Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
the undersigned, on oath.
OWNER SIGNATURl
City of Chicago
(I
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III
Status:_ Reason:.
007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231
Claim Number: 1019693
Index Number: 1421106017 0000
Water Account Number: 463285463285
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
lAA-
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll
Status:_ Reason:.
007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744
Claim Number: 1003434
Index Number: 1416301041 1089
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
,1m
- i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H-
014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725
"'1J111111" 11" 11"1
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003973
Index Number: 1421305030 1085
Water Account Number: 300530117758
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111
Status:_ Reason:.
007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335
Claim Number: 1021102
Index Number: 1416304039 1224
Water Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATURi
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll
Status:_ Reason:.
007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331
Claim Number: 1019576
Index Number: 1416304039 1042
Water Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011.
I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1
Status:_ Reason:.
007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244
Claim Number: 1020246
Index Number: 1421106032 1047
Water Account Number: 462493462493
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: HELEN SHILLER of Ward 46.
To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11
Status:_ Reason:.
007*001*******5-DIGIT 60613 WEIL, ILSA
4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761
Claim Number: 1002866
Index Number: 1416301041 1675
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:
007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630
Claim Number: 1003488
Index Number: 1421 110020 1507
Water Account Number: 462491462491
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640
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.
■^a?*228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:
O'LEARY, FRANKLIN A.
3600 N LAKE SHORE DR APT 605
CHICAGO, IL 60613-4638
Claim Number: 1017975
Index Number: 1421110020 1093
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
$ . O L f* ft. /the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
\h111
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019998
February 18, 2011
-11-11111' 11 -11 -1 -11.......i|, |-,||
007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244
Index Number: 1421106032 1027
Waler Accounl Number: 462493462493
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein.
OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l||
007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614
Index Number: 1421110020 1024
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1010895
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
\( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I
0 :
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111
Status:_ Reason:.
007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762
Claim Number: 1004440
Index Number: 1416301041 1595
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oalh,
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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
Telephone 312-744-3380
February 18, 2011
(«inns
-11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1
007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515
Index Number: 1416300029 1002 Water Account Number: 121061843801
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018804
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 il to
your ward office before July 1, 2011. Please Print Name
the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein.
OWNER SIG
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:._
Intro. Date:_
|||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II,
Status:_ Reason:.
007*001 *******5-DIGIT 60613 STALLER, JOHN
3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440
Claim Number: 1018246
Index Number: 1421 101034 1618
Water Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,.
Status:_ Reason:.
007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445
Claim Number: 1015334
Index Number: 1421101034 1645
Water Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
llilllllllTlll|-ll-|lllllTlhllllll-
012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783
1|||ll.l|1,|.l||ll
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023207
Index Number: 1417105023 1004
Water Account Number: 65/ /12592473
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
, LHfjJ K. U/gCf&iC^ undersigned on oath>
Please Print Name
depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
^g^228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil
Status:_ Reason:.
007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903
Claim Number: 1018954
Index Number: 1420214018 0000
Water Account Number: 466394466094
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-"
ii
Status:_ Reason:.
007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754
Claim Number: 1002732
Index Number: 1416301041 1661
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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^MS\^Hfc QMlft frj^flur^ersigned, on oath,
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201J
For Official Use Only:
Ward:_-
Intro. Date:_
"■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili
Status:_ Reason:.
007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302
Claim Number: 1005171
Index Number: 1416304039 1034
Water Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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)
■*SSI*>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
1)0147(1
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11
Status:_ Reason:.
007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304
Claim Number: 1019314
Index Number: 1416304039 1064
Waler Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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.
Edward M. Burke / f3> .
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 fDARdfg' L, ff)pr^(mS the undersigned, on oath,
Please Print Name
Very Truly Yours,
Alderman Edward M. Burke Cliaimian
City of Chicago
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I
Status:_ Reason:.
007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721
Claim Number: 1018776
Index Number: 1416301041 1163
Water Account Number: 300129030347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_■
Intro. Date:_
iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill
Status:_ Reason:
014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728
Claim Number: 1020657
Index Number: 1421305030 1181
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!!
Status:_ Reason:.
007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761
Claim Number: 1003031
Index Number: 1416301041 1783
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
»o»gSJ«,228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i
Status:_ Reason:.
007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721
Claim Number: 1016194
Index Number: 1416301041 1001
Water Account Number: 300129030347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE 2_ - 2--* - ZW/
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405
Claim Number: 1022054
Index Number: 1421101034 1138
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^
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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
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 Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl
Status:_ Reason:.
007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701
Claim Number: 1018661
Index Number: 1416303035 1139
Water Account Number: 300530319127
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNAT
Alderman Edward M. Burke Chairman
February 18,2011
City of Chicago
Telephone 312-744-3380
HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 -
007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448
Index Number: 1421101035 1201
Water Account Number: 463253463253
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019313
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
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.
Jhe undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
:<^Ldate ^eA^uu^ 32y <26/r/
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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
Teleplione 3L2-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017134
February 18, 2011
in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■
007*001 *******5-DIGIT 60613 RICHEY, PARK E.
3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678
Index Number: 1421110020 1563
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein.
wAlU- KajJ^j date Z'ZX-)I_
OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
5/1 hi
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111!
Status:_ Reason:.
014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907
Claim Number: 1015826
Index Number: 1421111007 1393
Water Account Number: 300530125377
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m
Status:_ Reason:.
007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457
Claim Number: 1005302
Index Number: 1421101035 1194
Water Account Number: 463252463252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.||
■ i
Status:_ Reason:.
007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748
Claim Number: 1020067
Index Number: 1416301041 1529
Water Account Number: 430751430751
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATU
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i
Status:_ Reason:
014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904
Claim Number: 1019674
Index Number: 1421111007 1213
Water Account Number: 462480462480
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 il to your ward office before July 1, 2011.
depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,!
Status:, Reason
007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484
Claim Number: 1017073
Index Number: 1421101034 1607
Water Account Number 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
_the undersigned, on oath,
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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^**-^- bn^y
DATE fop 34- 3eH
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722
Claim Number: 1019816
Index Number: 1416301041 1326
Waler Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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
Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_'
Intro. Date:_
111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1
Status:_ Reason:.
007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453
Claim Number: 1022727
Index Number: 1421101035 1012
Water Account Number: 463252463252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
.the undersigned, on oath,
Alderman Edward M. Burke Chairman
City of Chicago
4
Telephone 312-744-3380
February 18, 2011
Miiilliillliuli"lIMIIiiliiili1'.....
014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003440
Index Number: 1421111007 1084
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
■ Da A- Dn s
,£_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I
0
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
n
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111
Status:_ Reason:.
007*001 *******5-DIGIT 60613 CLARK. MARY
3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216
Claim Number: 1005187
Index Number: 1421 106030 1050
Water Account Number: 300530230002
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111
Status:_ Reason:.
014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733
Claim Number: 1020802
Index Number: 1421305030 1231
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE.
228
3/,
Alderman Edward M. Burke Cliairman
City of Chicago
Committee on Finance
Telephone 312-744-3380
February 18, 2011
iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11
007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021570
Index Number: 1416301041 1101
Waler Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 '
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
perjury of falsification herein. DATE 3-/- JO//
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
etifS^.228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 20 ll
For Official Use Only:
Ward:_
Intro. Date:_
||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl
Status:_ Reason:.
007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644
Claim Number: 1019934
Index Nu mber: 1421110020 1213
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh,
depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
Telephone 312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll||
Status:_ Reason:
007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502
Claim Number: 1003004
Index Number: 1416300027 1032
Water Account Number: 300530323706
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011.
undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 -
007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473
Index Number: 1421101034 1437 Water Account Number: 463256463256
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022485
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Senior Citizens Annual Refund Application
|
|
Note: *AII Fields Must Be Filled In |
1 |
Claimant Name |
First |
Middle Initial pivi. |
Last Name |
|
|
1Helen Urchenko Marianne Gaul Maryette Goebel 4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive Chicago, IL 60613 11-C #820 Chicago, IL 60613 Chicago, IL 60657 Marion Cardella 4250 N. Marine Dr. #1824 Chicago, II60613 Ofelia Castellanos 3950 N. Lake Shore #1408 B Chicago, IL 60613 Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B Chicago, IL 60613 Ronald Winer 720 W. Gordon Terr., 6-H Chicago, IL 60613 Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613 William Wax 3600 N Lake Shore Dr. #1106 Chicago, IL 60613 Lynn Preis 555 W. Cornelia #2011 Chicago, IL 60657 Jack Marrott 4300 N. Marine Dr. #303 CHICAGO, II 60613 Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613 Eva Levi 4300 N. Marine Dr. #902 CHICAGO, II60613 Mihai Smarandescu 3950 N Lake Shore Dr. #2012C Chicago, IL 60613 Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657 John Hurm 615 W.Addison #2 CHICAGO, II 60613 Barbara Ostert 3600 N. Lake Shore Drive 609 Chicago, IL 60613 JEAN CIZEK 3600 N. LAKE SHORE DRIVE #1922 CHICAGO, 1160613 Betty Hamilton 3900 North Lake Shore Drive Apt. 10C CHICAGO, IL60613 Carmelo Vasques 4250 N. Marine Drive #527 Chicago, IL 60613 Ayumu Miura 3600 N. Lake Shore Drive Chicago, IL 60613 MARIAN HORWITZ Marilyn Smull Barbara Olken 3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr. #718 #1921 #307 CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613 Robert Milaskey 3930 N. Pine Grove #2305 Chicago, IL 60613 Ursula Carnell 4170 North Marine Drive #7E CHICAGO, 1160613 Sandra Honaker 4170 N. Marine Dr. Apt. 14B Chicago, IL 60613 Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613 Irma Parker 4170 N. Marine Dr. #11J CHICAGO, 1160613 Irene Wojnarowski 3900 N Lake Shore Dr., 6E Apt. 6E Chicago, IL 60613 Hyrhan Orbach 4250 N. Marine Dr. #1516 Chicago, IL 60613 Margie Marcus 4170 N. Marine #9D Chicago, IL 60613 Judy Condylis 4250 N. Marine Dr. #915 Chicago, IL 60613 Bilya Cicekli Florence Brown Marian Dapin 4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr. Apt. 2305 #1628E CHICAGO, II 60657 Chicago, IL 60613 CHICAGO, II60613 Sylvia Levine 4170 N. Marine Drive #9J Chicago, IL 60613 Mary Clark 3740 N. Lake Shore Drive Chicago, IL 60640 Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613 Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657 Chris Rones 4334 N Clarendon #204 Chicago, IL 60613 Sylvia Liss 555 W Cornelia #912 Chicago, IL 60657 Edna Firse Michael Rosenberg Muriel Weinberg 4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr. #2523 Chicago, IL 60613 17E CHICAGO, II 60613 CHICAGO, II 60613 Sarah Najera 1460 W.Argyle CHICAGO, II 60640 William Winter 4170 N. Marine Dr. #14A CHICAGO, 1160613 Mildred Eisenstadt 4250 N Marine Dr. #301 Chicago, II60613 Richard Anders 3950 N. Lake Shore Drive #1030 Chicago, IL 60613 John Vargo 3550 North Lake Shore Drive #614 Chicago, IL 60657 Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL Ann Drake 3550 N. Lake Shore Dr. 2417 CHICAGO, II 60657 Dzemal Ikanovic 4848 N. Winthrop, #1314 Chicago, IL 60640 Rose Shure 3750 N. Lake Shore Dr. 16E CHICAGO, II 60657 Ruth Ross 3550 N. Lake Shore Dr. #2618 CHICAGO, II 60657 Magdalena Sanchez 3950 N. Lake Shore Drive 215-c Dorothy Troubb 4250 N. Marine Dr. #434 CHICAGO, 1160613 Rose Ross 3600 N. Lake Shore Drive #1011 Chicago, IL 60613 Betty Norman 4250 N Marine Dr. #1924 Chicago, IL 60613 Lawrence Kuhr 3600 N. Lake Shore Dr. #819 CHICAGO, 1160613 Marvin Benn 4170 N. Marine Drive Apt. 12K Chicago, IL 60613 Joyce Quimby 4250 N. Marine Dr. #1933 CHICAGO, 1160613 Regina Llorente 3950 N. Lake Shore Dr. 806B Chicago, IL 60613 John Boyle 4300 N. Marine Dr. #405 CHICAGO, 1160613 Richard Michalski 3950 N. Lake Shore #1206B Chicago, IL 60613 Janet Macdougall 3600 N. Lake Shore Dr. #1801 Chicago, IL 60613 Mits Yamashita 4343 N. Clarendon 1113 Chicago, IL 60613 Sidney Bulmash 4250 N. Marine Dr. #721 CHICAGO, 1160613 Leonard Miller 3900 N. Lake Shore Dr. #14J CHICAGO, II 60613 Remedios Ponce Vonda Urban Eleanor Dahl 3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr. #1806B CHICAGO, II60657 #1101 Chicago, IL 60613 Chicago, IL 60613 Anna Vulekas 3930 N Pine Grove #1116 Chicago, IL 60613 James O'Rourke 4170 N. Marine Dr. #21C Chicago, IL 60613 Mary Ann David 647 W. Buena 2E Chicago, IL 60613 Hedwig Parker 4250 N. Marine Dr. #2533 CHICAGO, 1160613 Jimmye Ross 700 W. Bittersweet Place #809 Chicago, IL 60613 Bertha Cousins 4008 N. Clarendon UnitB Chicago, IL 60613 Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J Chicago, IL 60613 Edith Hirsch 3600 N. Lake Shore Drive #1520 CHICAGO, 1160613 Enid Frandzel 3700 N. Lake Shore Drive, #310 Chicago, IL 60613 Nancy Hudson 3900 N. Lake Shore Dr Apt. 13A Chicago, IL 60613 Doris Wilterding 4170 N. Marine Dr. #15G Chicago, 1160613 Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613 Irene Goldfarb 3930 N. Pine Grove #1616 CHICAGO, 1160613 Mary Wagner 3950 N. Lake Shore Drive #718c Chicago, IL 60613 Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613 Dorthea Hely 3900 N.LAKE SHORE DR. #12C CHICAGO, II 60613 Phyllis Marks 4250 N. Marine #1435 Chicago, IL 60613 Nancy Kondo 3950 N. Lake Shore Dr. Chicago, IL 60613 Jo Joffe 656 W. Buena #2 Chicago, IL 60613 Archie Kirby 4170 N Marine Dr. #7F Chicago, IL 60613 Barbara Bengsten 3600 N. Lake Shore Dr. #2314 Chicago, IL 60613 Walter Kitt 3750 N. Lake Shore Dr. #10D CHICAGO, 1160613 Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613 Ann Willey 3950 North Lake Shore Drive #B2010 CHICAGO, II 60613 Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613 Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613 Cecilia Kangles 700 W. Bittersweet #306 Chicago, IL 60613 Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613 Theresa Eck 1458 W. Argyle CHICAGO, II60640 Merry Gorman 4200 N. Marine #801 Chicago, IL 60613 Daisy Driss 3550 N. Lake Shore Dr. CHICAGO, II 60657 Elsie Sichau 3600 N. Lake Shore Dr. #402 CHICAGO, 1160613 Elvira Semersky 4250 N. MARINE DR. #1401 CHICAGO, IL 60613 Barbara Chapman Eleanore Strunk Doris Endo 3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen Chicago, IL 60657 #1028 Chicago, IL 60640 CHICAGO, II 60657 Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d Chicago, IL 60613 Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613 W. Malone 3550 N. Lake Shore Dr. #1817 Chicago, IL 60657 John Hopkins 4170 N. Marine Dr. #18A CHICAGO, 1160613 Bernardine Trinen 3600 N. Lake Shore Dr. #2806 CHICAGO, 1160613 Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603 Chicago, IL 60657 Martine March 4250 N. Marine Drive 824 Chicago, IL 60613 Gertraud Eberson 3600 N. Lake Shore Dr. #308 CHICAGO, 1160613 Rita Ginenskaya 810 W. Grace #909 Chicago, 1160613 John Twardowski 810 W. Grace St. #2703 Chicago, IL 60613 Betty Cannon 3900 N. Lake Shore Dr. Apt. 16H Chicago, IL 60613 Frances Stokes 4250 N Marine Dr. #413 Chicago, IL 60613 Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657 Sondra Rosin 3950 N. Lake Shore Drive #2205 Chicago, IL 60613 Marvin Berns 4300 N. Marine Dr Apt. 602 Chicago, IL 60613 Lawrence Joseph 3950 N. Lake Shore Drive #1920D Chicago, IL 60613 Evelyn Russell 3600 N. Lake Shore Dr. #907 Chicago, IL 60613 Theresa Benoy 3550 N. Lake Shore Dr Apt. 821 Chicago, IL 60657 Frank Lukes 690 IRVING PARK RD. #D-3 CHICAGO, IL 60613 Vasil Truchly 4300 North Marine Drive #904 CHICAGO, 1160613 Emily Klusis 3550 N. Lake Shore Dr. #1822 Chicago, IL 60657 Priscilla Aguilar 4343 N. Clarendon #411 CHICAGO, IL 60613 Lois RETZLOFF 4343 N. Clarendon #2617 CHICAGO, 1160613 Alba Toro 4343 N. Clerendon 1213 Chicago, IL 60613 Sylvia Thall 3600 N Lake Shore Dr. #2305 Chicago, IL 60613 Rena Berke 3750 N Lake Shore Dr. #4G Chicago, IL 60613 Elaine Harris 3750 N Lake Shore Dr. #13H Chicago, IL 60613 Benne Whitlinger 4250 N. Marine Dr. #603 CHICAGO, II 60613 James L. Horn 3900 N. Lake Shore Dr. Apt. 17D Chicago, 1160613 Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657 Charlotte Seinfeld PARK RICHEY Natalie Saltiel 4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive #1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613 Beverly Ashford 672 W. Irving Park #G2 Chicago, IL 60613 Roy Granberg 3550 N. Lake Shore Dr. #417 CHICAGO, IL 60657 Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613 Donine Livingston 555 W.Cornelia 1004 Chicago, IL 60657 Anita Po 3600 N. Lake Shore Dr. Apt. 421 Chicago, IL 60613 Sonya Panos 3930 N. Pine Grove #603 Chicago, IL 60613 Margaret Coogan 3550 N.Lake Shore #603 Chicago, IL 60657 Renee Schwartz 4250 N. Marine Dr. #1922 CHICAGO, 1160613 Marcelle Pour 3750 N. Lake Shore Drive #5B Chicago, IL 60613 1 Rosemary Blume 4250 N. Marine #2604 CHICAGO, II 60613 Pearl Grau 4250 N. Marine Dr. #1309 CHICAGO, 1160613 Victoria Rosa 810 W. Grace #1708 Chicago, 1160613 Ruth Singer 3930 N. Pine Grove CHICAGO, 1160613 Claire Buckner 3550 N. Lake Shore Dr. CHICAGO, II 60657 Joyce Penner 4250 N Marine Dr. #1733N Chicago, IL 60613 Robert Comein 4170 North Marine Drive #7B Chicago, IL 60613 Mary Lambros 3600 N. Lake Shore Drive 1415 Chicago, IL 60613 Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613 LOUETTA IRWIN 3600 N. LAKE SHORE DRIVE #1501 CHICAGO, IL 60613 Sidney Kaz 555 W. Cornelia #1411 Chicago, IL 60657 llsa Weil 4250 N. Marine Dr. #430 CHICAGO, 1160613 Mary Smelser Mary Ludwig Leo Prath 3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr. Chicago, IL 60613 #12C Chicago, IL 60613 Chicago, 60613 Alice Fox 3950 N. Lake Shore Drive #1811 Chicago, Adrienne Singer 3900 N. Lake Shore Dr. #10J Chicago, IL 60613 Paula Mathieu 3550 N. Lake Shore Drive Chicago, IL 60657 Rhoda Kachalon 4200 N. Marine Drive 60613 Zilha Melkic 4848 N. Winthrop #407 Chicago, IL 60640 Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613 Ernest Casper 4250 N. Marine #2204 Chicago, IL Begona Uribe 3550 N. Lake Shore Drive #2224 Chicago, IL 60657 Esther Witek 4170 N. Marine Dr. #21M Chicago, IL 60613 Georgette Spertus 4250 N. Marine Dr. #1702 CHICAGO, IL 60613 Laurie Brewster 810W. Grace #2003 CHICAGO, 1160613 Isabel Carpio 3600 North Lake Shore Drive #201 CHICAGO, 1160613 Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613 Fred Heilizer 4170 N. Marine Dr. #12E CHICAGO, 1160613 Lois Mayer 3900 N. Lake Shore Drive #22J Chicago, IL 60613 Judi'th Corbeille 700 W. Bittersweet Apt. 408 Chicago, IL 60613 Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613 Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613 Helen Coleman 4250 N. Marine Dr. 1024 Chicago, IL 60613 Shirley Lynn 4250 N Marine Dr. #909 Chicago, IL 60613 Alberta Rotto 3600 N. Lake Shore Dr. #1320 CHICAGO, IL 60613 Lorraine Goldberg 4170 N. Marine Dr. #23E CHICAGO, II 60613 Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL Milagros Rivera 3600 N. LSD #1521 Chicago, IL 60613 Sofiya Zarkhina 810 W. Grace #608 Chicago, 1160613 Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657 Ida Lockett 555 W. Cornelia #1110 Chicago, IL 60657 Louis Calandra 4170 N Marine Dr 24E Chicago, IL 60613 Helene Herson 3600 N. LAKE SHORE DR. #1601 CHICAGO, II 60613 Bridget Semper 3930 N. Pine Grove Ave. #2001 Chicago, IL 60613 Ruth Swislow 3920 N. Lake Shore Drive Chicago, IL 60613 Louise Klis 3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613 Zola VanDeraa 4423 N Beacon Chicago, IL 60640 Elizabeth Ambo 555 W Cornelia #1008 Chicago, IL 60657 Michael Kirk 3950 N. Lake Shore Drive, #1500 Chicago, IL 60613 Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714 Chicago, IL 60613 Dorothy Chapman 4250 N. Marine Drive #309 Chicago, IL 60613 Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613 Don Karper 4170 N Marine Drive #22A Chicago, IL 60613 Costas Petros 3600 N Lake Shore Dr. #1201 Chicago, IL 60613 Elaine Manilow 3750 N. Lake Shore Drive 2c Chicago, IL 60613 Joseph Nieminski 536 W. Cornelia Apt. 1N Chicago, IL 60657 Claire Glasser 4250 N. Marine Dr. #1136 CHICAGO, II 60613 BARBARA HENNEY 3600 N. Lake Shore Dr. #1918 CHICAGO, 1160613 Larisa Bogach KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613 Lindsay Humpal Denise Benham Lenore Glanz 717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr. 719 W. Montrose Chicago, IL 60613 Apt. 405 Chicago, IL 60613 Chicago, IL 60657 Jessie Alford 4250 N Marine Dr. #607 Chicago, IL 60613 Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613 Ines Lopez 3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613 Jose Buergo 3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613 Marion Nathan 3900 N. Lake Shore Dr. Apt. 12A Chicago, IL 60613 Steven Spinuzza 4300 N. Marine Dr. #1704 CHICAGO, 1160613 Nancy Schmidt 4250 N. Marine Dr. #1021 CHICAGO, 1160613 Robert Leetch 617 W.Addison #1 Chicago, IL 60613 Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A Chicago, IL 60613 James Gaebe John Staller Tomas Bissonnette 3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon Chicago, IL 60613 Chicago, IL 60613 #1001,1002 Chicago, IL 60613 Lynn Welter 4707 N. Magnolia Apt. 1S Chicago, IL 60640 Carol Browning 555 W. Cornelia #710 Chicago, IL 60657 Franklin O'Leary 3600 N. Lake Shore Drive 605 Chicago, IL 60613 Mary Metag 3520 N. Lake Shore Dr. 4M CHICAGO, II Olga Stiefel 3600 N. Lake Shore Dr. #1420 CHICAGO, II60613 3/1 In City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1 Status:_ Reason:. 014*001*******5-DIGIT 60657 PREIS, LYNN W. 555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739 Claim Number: 1021375 Index Number: 1421305030 1209 Waief Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i Status:_ Reason: 014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904 Claim Number: 1017729 Index Number: 1421111007 1186 Water Account Number: 300530125360 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: HELEN SHILLER of Ward 46. 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. he undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 'lease Print Name Alderman Edward M. Burke Chairman City of Chicago February 18, 201 1 -111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 - 007*001 *******5-DIGIT 60613 BERKE, RENA 3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231 Index Number: 1421106017 0000 Water Account Number: 463285463285 3/V// Telephone 312-744-3380 For Official Use Only: Ward:_- Intro. Date:. Status:_ Reason:_ Claim Number: 1019904 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein. OWNER SIGNATURE/ f l/-Ji^L^ DATE t talsitication nerein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 in).?: i? ■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■ 014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728 Index Number: 1421305030 1142 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019340 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 OWNER SIGNATU Very Truly Yours, Edward M. Burke tand I am subject to ifiUjties for perjury of falsification herein. DATE ^1^1 \\ MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll Status:_ Reason:. 007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342 Claim Number: 1019258 Index Number: 1416304039 1216 " Water Account Number: 463400463400" 201 I SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-! Status:_ Reason:. 007*001*******5-DIGIT 60613 HORN, JAMES L 3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455 Claim Number: 1022730 Index Number: 1421101035 1088 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. . I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATJ Very Truly Yours, ill ft( Alderman Edward M. Burke Chairman February 18, 201 City of Chicago Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1000835 1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111 007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339 Index Number: 1416304039 1161 Water Account Number: 300530331440 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. e undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. DATE 30// OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11 Status:_ Reason: 007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715 Claim Number: 1019541 Index Number: 1416301041 1824 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill Status:_ Reason:. 007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644 Claim Number: 1019907 Index Number: 1421110020 1232 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ilhrllillhl",V"h1MThl,liilIHMllHllHllllil Status:_ Reason:. 007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758 Claim Number: 1003502 Index Number: 1416301041 1844 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Cliairman February 18, 201 City of Chicago i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m - 007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019038 Index Number: 1421101034 1148 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/lownhouse 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 I, 2011. _the undersigned, on oath, Please Prim Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 1)1114411 II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!, 007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1005248 Index Number: 1416301041 1777 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/ Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago 111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11 007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003134 Index Number: 1416304039 1093 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Btirke Cliairman February 18, 201 City of Chicago 11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11 014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805 Index Number: 1421112012 1048 Water Account Number: 300530125209 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1016368 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name ( / l _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do hot 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 Teleplione February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11 Status:_ Reason:. 015*001 *******5-DIGIT 60657 URIBE, BEGONA 3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869 Claim Number: 1017731 Index Number: 1421111007 1581 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE w1 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111! Status:_ Reason:. 007*001*******5-DIGIT 60613 LOPEZ, INES 3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446 Claim Number: 1003170 Index Number: 1421101034 1559 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. I_\ KJ S LO ^ *Z_tne undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll Status:_ Reason:. 007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102 Claim Number: 1022399 Index Number: 1421101034 1390 Water Account Number: 590406463257 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath. Please Print Name OWNER SIGNATURE. DATE. 3 */" City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill Status:_ Reason:. 015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807 Claim Number: 1018173 Index Number: 1421 111007 1059 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Chairman City of Chicago 7. Telephone 312-744-3380 February 18, 2011 |.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I, 015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019347 Index Number: 1421111007 1463 Waler Account Number: 462479462479 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*// Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS -^^0228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone in February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1 Status:_ Reason:. 021*015******MIXED AADC 606 LUKES, FRANK J. 509 SHIP ST # 206 SAINT JOSEPH, MI 49085-1118 Claim Number: 1015971 Index Number: 1416305021 1023 Water Account Number: 300129024908 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 -11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 > 007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414 Index Number: 1421101034 1378 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_1 Intro. Date:. Status:_ Reason:_ Claim Number: 1018233 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name undersigned, on oath. depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein. OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111 007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552 llll-h-1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018214 Index Number: 1417407053 1014 Water Account Number: 300530313327~ '■ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. , Off-m-r <= Raver Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein. OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?/// Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 3|1 Telephone 312-744-3380 February 18,2011 'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll 012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011019 Index Number: 1417123021 1004 Water Account Number: 300530501506 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein. 'tt&JL OWNER SIGNATURE Very Truly Yours, ATE fr-SL-SL -&d I ( Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'" Status:_ Reason:. 007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744 Claim Number: 1000036 Index Number: 1416301041 1336 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer 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. I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago A Telephone 312-744-3380 February 18, 2011 -V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11- 007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020156 Index Number: 1421101034 1014 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ie 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. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ -11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1 Status:_ Reason:. 007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721 Claim Number: 1019286 Index Number: 1416301041 1217 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:__ r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin ii Status:_ Reason: 007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726 Claim Number: 1019675 Index Number: 1416301041 1332 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE . ? - / - // Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756 Status:_ Reason:. Claim Number: 1018951 Index Number: 1416301041 1820 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name Very Truly Yours, / Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602 Claim Number: 1009026 Index Number: 1421110020 1001 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. been paid and that I understand Alderman Edward M. Burke Chainnan City of Chicago Telephone 312-744-3380 February 18, 2011 |T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l 007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019690 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ Status:_ Reason:. 015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839 Claim Number: 1019290 Index Number: 1421111007 1077 Water Account Number: 462478462478 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein. OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE. Very Truly Yours, ' Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 '^fSNfr 228 City of Chicago 5/1 l\ Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M Status:_ Reason:. 007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333 Claim Number: 1003442 Index Number: 1416304039 1121 Water-Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 UJ I I'd. u)t»jT<=,C the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 =^8^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i Status:_ Reason:. 007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463 Claim Number: 1018220 Index Number: 1421101035 1101 Water Account Number: 300129027105' 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS undersigned, on oath, Please Print Name ^^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli Status:_ Reason:. 007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340 Claim Number: 1005211 Index Number: 1416301039 1169 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii Status:_ Reason:. 007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672 Claim Number: 1022394 Index Number: 1421110020 1293 Waler Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath. OWNER SIGNATURl City of Chicago (I Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ -i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III Status:_ Reason:. 007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231 Claim Number: 1019693 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 lAA- Alderman Edward M. Burke Chairman City of Chicago Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll Status:_ Reason:. 007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744 Claim Number: 1003434 Index Number: 1416301041 1089 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Commiltee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ,1m - i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H- 014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725 "'1J111111" 11" 11"1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1003973 Index Number: 1421305030 1085 Water Account Number: 300530117758 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111 Status:_ Reason:. 007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335 Claim Number: 1021102 Index Number: 1416304039 1224 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATURi City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll Status:_ Reason:. 007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331 Claim Number: 1019576 Index Number: 1416304039 1042 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011. I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1 Status:_ Reason:. 007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244 Claim Number: 1020246 Index Number: 1421106032 1047 Water Account Number: 462493462493 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: HELEN SHILLER of Ward 46. To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11 Status:_ Reason:. 007*001*******5-DIGIT 60613 WEIL, ILSA 4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761 Claim Number: 1002866 Index Number: 1416301041 1675 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630 Claim Number: 1003488 Index Number: 1421 110020 1507 Water Account Number: 462491462491 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640 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. ■^a?*228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: O'LEARY, FRANKLIN A. 3600 N LAKE SHORE DR APT 605 CHICAGO, IL 60613-4638 Claim Number: 1017975 Index Number: 1421110020 1093 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS $ . O L f* ft. /the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago \h111 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019998 February 18, 2011 -11-11111' 11 -11 -1 -11.......i|, |-,|| 007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244 Index Number: 1421106032 1027 Waler Accounl Number: 462493462493 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein. OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l|| 007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614 Index Number: 1421110020 1024 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1010895 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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. \( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I 0 : Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111 Status:_ Reason:. 007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762 Claim Number: 1004440 Index Number: 1416301041 1595 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oalh, 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 («inns -11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1 007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515 Index Number: 1416300029 1002 Water Account Number: 121061843801 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018804 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. Please Print Name the undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein. OWNER SIG Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:._ Intro. Date:_ |||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II, Status:_ Reason:. 007*001 *******5-DIGIT 60613 STALLER, JOHN 3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440 Claim Number: 1018246 Index Number: 1421 101034 1618 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,. Status:_ Reason:. 007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445 Claim Number: 1015334 Index Number: 1421101034 1645 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 llilllllllTlll|-ll-|lllllTlhllllll- 012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783 1|||ll.l|1,|.l||ll For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1023207 Index Number: 1417105023 1004 Water Account Number: 65/ /12592473 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. , LHfjJ K. U/gCf&iC^ undersigned on oath> Please Print Name depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS ^g^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil Status:_ Reason:. 007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903 Claim Number: 1018954 Index Number: 1420214018 0000 Water Account Number: 466394466094 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-" ii Status:_ Reason:. 007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754 Claim Number: 1002732 Index Number: 1416301041 1661 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^MS\^Hfc QMlft frj^flur^ersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201J For Official Use Only: Ward:_- Intro. Date:_ "■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili Status:_ Reason:. 007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302 Claim Number: 1005171 Index Number: 1416304039 1034 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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) ■*SSI*>228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone 1)0147(1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11 Status:_ Reason:. 007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304 Claim Number: 1019314 Index Number: 1416304039 1064 Waler Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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. Edward M. Burke / f3> . MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 fDARdfg' L, ff)pr^(mS the undersigned, on oath, Please Print Name Very Truly Yours, Alderman Edward M. Burke Cliaimian City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I Status:_ Reason:. 007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721 Claim Number: 1018776 Index Number: 1416301041 1163 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_■ Intro. Date:_ iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill Status:_ Reason: 014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728 Claim Number: 1020657 Index Number: 1421305030 1181 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!! Status:_ Reason:. 007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761 Claim Number: 1003031 Index Number: 1416301041 1783 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS »o»gSJ«,228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i Status:_ Reason:. 007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721 Claim Number: 1016194 Index Number: 1416301041 1001 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE 2_ - 2--* - ZW/ City of Chicago Alderman Edward M. Burke Chairman Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405 Claim Number: 1022054 Index Number: 1421101034 1138 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^ 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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl Status:_ Reason:. 007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701 Claim Number: 1018661 Index Number: 1416303035 1139 Water Account Number: 300530319127 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNAT Alderman Edward M. Burke Chairman February 18,2011 City of Chicago Telephone 312-744-3380 HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 - 007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448 Index Number: 1421101035 1201 Water Account Number: 463253463253 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019313 Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. 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. Jhe undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE :<^Ldate ^eA^uu^ 32y <26/r/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Teleplione 3L2-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017134 February 18, 2011 in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■ 007*001 *******5-DIGIT 60613 RICHEY, PARK E. 3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678 Index Number: 1421110020 1563 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011. jhe undersigned, on oath, Please Print Name depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein. wAlU- KajJ^j date Z'ZX-)I_ OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 5/1 hi Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111! Status:_ Reason:. 014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907 Claim Number: 1015826 Index Number: 1421111007 1393 Water Account Number: 300530125377 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m Status:_ Reason:. 007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457 Claim Number: 1005302 Index Number: 1421101035 1194 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.|| ■ i Status:_ Reason:. 007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748 Claim Number: 1020067 Index Number: 1416301041 1529 Water Account Number: 430751430751 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS OWNER SIGNATU Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i Status:_ Reason: 014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904 Claim Number: 1019674 Index Number: 1421111007 1213 Water Account Number: 462480462480 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,! Status:, Reason 007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484 Claim Number: 1017073 Index Number: 1421101034 1607 Water Account Number 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. _the undersigned, on oath, depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^**-^- bn^y DATE fop 34- 3eH City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722 Claim Number: 1019816 Index Number: 1416301041 1326 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_' Intro. Date:_ 111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1 Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453 Claim Number: 1022727 Index Number: 1421101035 1012 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name .the undersigned, on oath, Alderman Edward M. Burke Chairman City of Chicago 4 Telephone 312-744-3380 February 18, 2011 Miiilliillliuli"lIMIIiiliiili1'..... 014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944 For Official Use Only: Ward: _ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003440 Index Number: 1421111007 1084 Water Account Number: 300530125377 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ■ Da A- Dn s ,£_the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I 0 Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS n Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephotie February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111 Status:_ Reason:. 007*001 *******5-DIGIT 60613 CLARK. MARY 3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216 Claim Number: 1005187 Index Number: 1421 106030 1050 Water Account Number: 300530230002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111 Status:_ Reason:. 014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733 Claim Number: 1020802 Index Number: 1421305030 1231 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS DATE. 228 3/, Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance Telephone 312-744-3380 February 18, 2011 iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11 007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021570 Index Number: 1416301041 1101 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ' OWNER SIGNATURE Very Truly Yours, Edward M. Burke perjury of falsification herein. DATE 3-/- JO// MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS etifS^.228 Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 20 ll For Official Use Only: Ward:_ Intro. Date:_ ||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644 Claim Number: 1019934 Index Nu mber: 1421110020 1213 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh, depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll|| Status:_ Reason: 007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502 Claim Number: 1003004 Index Number: 1416300027 1032 Water Account Number: 300530323706 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011. undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE. Alderman Edward M. Burke Chairman City of Chicago February 18, 2011 T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 - 007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473 Index Number: 1421101034 1437 Water Account Number: 463256463256 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1022485 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial pivi.Last Name Afe /«. n 2 |
Claimant Address |
'-r'x'SD /V. marine. Pr- idx1-/ |
3 |
Claimant City, State & Zip Code |
Citv |
State |
Zip Code |
|
|
|
1Helen Urchenko Marianne Gaul Maryette Goebel 4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive Chicago, IL 60613 11-C #820 Chicago, IL 60613 Chicago, IL 60657 Marion Cardella 4250 N. Marine Dr. #1824 Chicago, II60613 Ofelia Castellanos 3950 N. Lake Shore #1408 B Chicago, IL 60613 Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B Chicago, IL 60613 Ronald Winer 720 W. Gordon Terr., 6-H Chicago, IL 60613 Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613 William Wax 3600 N Lake Shore Dr. #1106 Chicago, IL 60613 Lynn Preis 555 W. Cornelia #2011 Chicago, IL 60657 Jack Marrott 4300 N. Marine Dr. #303 CHICAGO, II 60613 Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613 Eva Levi 4300 N. Marine Dr. #902 CHICAGO, II60613 Mihai Smarandescu 3950 N Lake Shore Dr. #2012C Chicago, IL 60613 Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657 John Hurm 615 W.Addison #2 CHICAGO, II 60613 Barbara Ostert 3600 N. Lake Shore Drive 609 Chicago, IL 60613 JEAN CIZEK 3600 N. LAKE SHORE DRIVE #1922 CHICAGO, 1160613 Betty Hamilton 3900 North Lake Shore Drive Apt. 10C CHICAGO, IL60613 Carmelo Vasques 4250 N. Marine Drive #527 Chicago, IL 60613 Ayumu Miura 3600 N. Lake Shore Drive Chicago, IL 60613 MARIAN HORWITZ Marilyn Smull Barbara Olken 3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr. #718 #1921 #307 CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613 Robert Milaskey 3930 N. Pine Grove #2305 Chicago, IL 60613 Ursula Carnell 4170 North Marine Drive #7E CHICAGO, 1160613 Sandra Honaker 4170 N. Marine Dr. Apt. 14B Chicago, IL 60613 Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613 Irma Parker 4170 N. Marine Dr. #11J CHICAGO, 1160613 Irene Wojnarowski 3900 N Lake Shore Dr., 6E Apt. 6E Chicago, IL 60613 Hyrhan Orbach 4250 N. Marine Dr. #1516 Chicago, IL 60613 Margie Marcus 4170 N. Marine #9D Chicago, IL 60613 Judy Condylis 4250 N. Marine Dr. #915 Chicago, IL 60613 Bilya Cicekli Florence Brown Marian Dapin 4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr. Apt. 2305 #1628E CHICAGO, II 60657 Chicago, IL 60613 CHICAGO, II60613 Sylvia Levine 4170 N. Marine Drive #9J Chicago, IL 60613 Mary Clark 3740 N. Lake Shore Drive Chicago, IL 60640 Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613 Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657 Chris Rones 4334 N Clarendon #204 Chicago, IL 60613 Sylvia Liss 555 W Cornelia #912 Chicago, IL 60657 Edna Firse Michael Rosenberg Muriel Weinberg 4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr. #2523 Chicago, IL 60613 17E CHICAGO, II 60613 CHICAGO, II 60613 Sarah Najera 1460 W.Argyle CHICAGO, II 60640 William Winter 4170 N. Marine Dr. #14A CHICAGO, 1160613 Mildred Eisenstadt 4250 N Marine Dr. #301 Chicago, II60613 Richard Anders 3950 N. Lake Shore Drive #1030 Chicago, IL 60613 John Vargo 3550 North Lake Shore Drive #614 Chicago, IL 60657 Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL Ann Drake 3550 N. Lake Shore Dr. 2417 CHICAGO, II 60657 Dzemal Ikanovic 4848 N. Winthrop, #1314 Chicago, IL 60640 Rose Shure 3750 N. Lake Shore Dr. 16E CHICAGO, II 60657 Ruth Ross 3550 N. Lake Shore Dr. #2618 CHICAGO, II 60657 Magdalena Sanchez 3950 N. Lake Shore Drive 215-c Dorothy Troubb 4250 N. Marine Dr. #434 CHICAGO, 1160613 Rose Ross 3600 N. Lake Shore Drive #1011 Chicago, IL 60613 Betty Norman 4250 N Marine Dr. #1924 Chicago, IL 60613 Lawrence Kuhr 3600 N. Lake Shore Dr. #819 CHICAGO, 1160613 Marvin Benn 4170 N. Marine Drive Apt. 12K Chicago, IL 60613 Joyce Quimby 4250 N. Marine Dr. #1933 CHICAGO, 1160613 Regina Llorente 3950 N. Lake Shore Dr. 806B Chicago, IL 60613 John Boyle 4300 N. Marine Dr. #405 CHICAGO, 1160613 Richard Michalski 3950 N. Lake Shore #1206B Chicago, IL 60613 Janet Macdougall 3600 N. Lake Shore Dr. #1801 Chicago, IL 60613 Mits Yamashita 4343 N. Clarendon 1113 Chicago, IL 60613 Sidney Bulmash 4250 N. Marine Dr. #721 CHICAGO, 1160613 Leonard Miller 3900 N. Lake Shore Dr. #14J CHICAGO, II 60613 Remedios Ponce Vonda Urban Eleanor Dahl 3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr. #1806B CHICAGO, II60657 #1101 Chicago, IL 60613 Chicago, IL 60613 Anna Vulekas 3930 N Pine Grove #1116 Chicago, IL 60613 James O'Rourke 4170 N. Marine Dr. #21C Chicago, IL 60613 Mary Ann David 647 W. Buena 2E Chicago, IL 60613 Hedwig Parker 4250 N. Marine Dr. #2533 CHICAGO, 1160613 Jimmye Ross 700 W. Bittersweet Place #809 Chicago, IL 60613 Bertha Cousins 4008 N. Clarendon UnitB Chicago, IL 60613 Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J Chicago, IL 60613 Edith Hirsch 3600 N. Lake Shore Drive #1520 CHICAGO, 1160613 Enid Frandzel 3700 N. Lake Shore Drive, #310 Chicago, IL 60613 Nancy Hudson 3900 N. Lake Shore Dr Apt. 13A Chicago, IL 60613 Doris Wilterding 4170 N. Marine Dr. #15G Chicago, 1160613 Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613 Irene Goldfarb 3930 N. Pine Grove #1616 CHICAGO, 1160613 Mary Wagner 3950 N. Lake Shore Drive #718c Chicago, IL 60613 Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613 Dorthea Hely 3900 N.LAKE SHORE DR. #12C CHICAGO, II 60613 Phyllis Marks 4250 N. Marine #1435 Chicago, IL 60613 Nancy Kondo 3950 N. Lake Shore Dr. Chicago, IL 60613 Jo Joffe 656 W. Buena #2 Chicago, IL 60613 Archie Kirby 4170 N Marine Dr. #7F Chicago, IL 60613 Barbara Bengsten 3600 N. Lake Shore Dr. #2314 Chicago, IL 60613 Walter Kitt 3750 N. Lake Shore Dr. #10D CHICAGO, 1160613 Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613 Ann Willey 3950 North Lake Shore Drive #B2010 CHICAGO, II 60613 Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613 Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613 Cecilia Kangles 700 W. Bittersweet #306 Chicago, IL 60613 Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613 Theresa Eck 1458 W. Argyle CHICAGO, II60640 Merry Gorman 4200 N. Marine #801 Chicago, IL 60613 Daisy Driss 3550 N. Lake Shore Dr. CHICAGO, II 60657 Elsie Sichau 3600 N. Lake Shore Dr. #402 CHICAGO, 1160613 Elvira Semersky 4250 N. MARINE DR. #1401 CHICAGO, IL 60613 Barbara Chapman Eleanore Strunk Doris Endo 3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen Chicago, IL 60657 #1028 Chicago, IL 60640 CHICAGO, II 60657 Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d Chicago, IL 60613 Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613 W. Malone 3550 N. Lake Shore Dr. #1817 Chicago, IL 60657 John Hopkins 4170 N. Marine Dr. #18A CHICAGO, 1160613 Bernardine Trinen 3600 N. Lake Shore Dr. #2806 CHICAGO, 1160613 Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603 Chicago, IL 60657 Martine March 4250 N. Marine Drive 824 Chicago, IL 60613 Gertraud Eberson 3600 N. Lake Shore Dr. #308 CHICAGO, 1160613 Rita Ginenskaya 810 W. Grace #909 Chicago, 1160613 John Twardowski 810 W. Grace St. #2703 Chicago, IL 60613 Betty Cannon 3900 N. Lake Shore Dr. Apt. 16H Chicago, IL 60613 Frances Stokes 4250 N Marine Dr. #413 Chicago, IL 60613 Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657 Sondra Rosin 3950 N. Lake Shore Drive #2205 Chicago, IL 60613 Marvin Berns 4300 N. Marine Dr Apt. 602 Chicago, IL 60613 Lawrence Joseph 3950 N. Lake Shore Drive #1920D Chicago, IL 60613 Evelyn Russell 3600 N. Lake Shore Dr. #907 Chicago, IL 60613 Theresa Benoy 3550 N. Lake Shore Dr Apt. 821 Chicago, IL 60657 Frank Lukes 690 IRVING PARK RD. #D-3 CHICAGO, IL 60613 Vasil Truchly 4300 North Marine Drive #904 CHICAGO, 1160613 Emily Klusis 3550 N. Lake Shore Dr. #1822 Chicago, IL 60657 Priscilla Aguilar 4343 N. Clarendon #411 CHICAGO, IL 60613 Lois RETZLOFF 4343 N. Clarendon #2617 CHICAGO, 1160613 Alba Toro 4343 N. Clerendon 1213 Chicago, IL 60613 Sylvia Thall 3600 N Lake Shore Dr. #2305 Chicago, IL 60613 Rena Berke 3750 N Lake Shore Dr. #4G Chicago, IL 60613 Elaine Harris 3750 N Lake Shore Dr. #13H Chicago, IL 60613 Benne Whitlinger 4250 N. Marine Dr. #603 CHICAGO, II 60613 James L. Horn 3900 N. Lake Shore Dr. Apt. 17D Chicago, 1160613 Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657 Charlotte Seinfeld PARK RICHEY Natalie Saltiel 4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive #1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613 Beverly Ashford 672 W. Irving Park #G2 Chicago, IL 60613 Roy Granberg 3550 N. Lake Shore Dr. #417 CHICAGO, IL 60657 Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613 Donine Livingston 555 W.Cornelia 1004 Chicago, IL 60657 Anita Po 3600 N. Lake Shore Dr. Apt. 421 Chicago, IL 60613 Sonya Panos 3930 N. Pine Grove #603 Chicago, IL 60613 Margaret Coogan 3550 N.Lake Shore #603 Chicago, IL 60657 Renee Schwartz 4250 N. Marine Dr. #1922 CHICAGO, 1160613 Marcelle Pour 3750 N. Lake Shore Drive #5B Chicago, IL 60613 1 Rosemary Blume 4250 N. Marine #2604 CHICAGO, II 60613 Pearl Grau 4250 N. Marine Dr. #1309 CHICAGO, 1160613 Victoria Rosa 810 W. Grace #1708 Chicago, 1160613 Ruth Singer 3930 N. Pine Grove CHICAGO, 1160613 Claire Buckner 3550 N. Lake Shore Dr. CHICAGO, II 60657 Joyce Penner 4250 N Marine Dr. #1733N Chicago, IL 60613 Robert Comein 4170 North Marine Drive #7B Chicago, IL 60613 Mary Lambros 3600 N. Lake Shore Drive 1415 Chicago, IL 60613 Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613 LOUETTA IRWIN 3600 N. LAKE SHORE DRIVE #1501 CHICAGO, IL 60613 Sidney Kaz 555 W. Cornelia #1411 Chicago, IL 60657 llsa Weil 4250 N. Marine Dr. #430 CHICAGO, 1160613 Mary Smelser Mary Ludwig Leo Prath 3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr. Chicago, IL 60613 #12C Chicago, IL 60613 Chicago, 60613 Alice Fox 3950 N. Lake Shore Drive #1811 Chicago, Adrienne Singer 3900 N. Lake Shore Dr. #10J Chicago, IL 60613 Paula Mathieu 3550 N. Lake Shore Drive Chicago, IL 60657 Rhoda Kachalon 4200 N. Marine Drive 60613 Zilha Melkic 4848 N. Winthrop #407 Chicago, IL 60640 Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613 Ernest Casper 4250 N. Marine #2204 Chicago, IL Begona Uribe 3550 N. Lake Shore Drive #2224 Chicago, IL 60657 Esther Witek 4170 N. Marine Dr. #21M Chicago, IL 60613 Georgette Spertus 4250 N. Marine Dr. #1702 CHICAGO, IL 60613 Laurie Brewster 810W. Grace #2003 CHICAGO, 1160613 Isabel Carpio 3600 North Lake Shore Drive #201 CHICAGO, 1160613 Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613 Fred Heilizer 4170 N. Marine Dr. #12E CHICAGO, 1160613 Lois Mayer 3900 N. Lake Shore Drive #22J Chicago, IL 60613 Judi'th Corbeille 700 W. Bittersweet Apt. 408 Chicago, IL 60613 Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613 Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613 Helen Coleman 4250 N. Marine Dr. 1024 Chicago, IL 60613 Shirley Lynn 4250 N Marine Dr. #909 Chicago, IL 60613 Alberta Rotto 3600 N. Lake Shore Dr. #1320 CHICAGO, IL 60613 Lorraine Goldberg 4170 N. Marine Dr. #23E CHICAGO, II 60613 Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL Milagros Rivera 3600 N. LSD #1521 Chicago, IL 60613 Sofiya Zarkhina 810 W. Grace #608 Chicago, 1160613 Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657 Ida Lockett 555 W. Cornelia #1110 Chicago, IL 60657 Louis Calandra 4170 N Marine Dr 24E Chicago, IL 60613 Helene Herson 3600 N. LAKE SHORE DR. #1601 CHICAGO, II 60613 Bridget Semper 3930 N. Pine Grove Ave. #2001 Chicago, IL 60613 Ruth Swislow 3920 N. Lake Shore Drive Chicago, IL 60613 Louise Klis 3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613 Zola VanDeraa 4423 N Beacon Chicago, IL 60640 Elizabeth Ambo 555 W Cornelia #1008 Chicago, IL 60657 Michael Kirk 3950 N. Lake Shore Drive, #1500 Chicago, IL 60613 Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714 Chicago, IL 60613 Dorothy Chapman 4250 N. Marine Drive #309 Chicago, IL 60613 Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613 Don Karper 4170 N Marine Drive #22A Chicago, IL 60613 Costas Petros 3600 N Lake Shore Dr. #1201 Chicago, IL 60613 Elaine Manilow 3750 N. Lake Shore Drive 2c Chicago, IL 60613 Joseph Nieminski 536 W. Cornelia Apt. 1N Chicago, IL 60657 Claire Glasser 4250 N. Marine Dr. #1136 CHICAGO, II 60613 BARBARA HENNEY 3600 N. Lake Shore Dr. #1918 CHICAGO, 1160613 Larisa Bogach KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613 Lindsay Humpal Denise Benham Lenore Glanz 717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr. 719 W. Montrose Chicago, IL 60613 Apt. 405 Chicago, IL 60613 Chicago, IL 60657 Jessie Alford 4250 N Marine Dr. #607 Chicago, IL 60613 Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613 Ines Lopez 3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613 Jose Buergo 3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613 Marion Nathan 3900 N. Lake Shore Dr. Apt. 12A Chicago, IL 60613 Steven Spinuzza 4300 N. Marine Dr. #1704 CHICAGO, 1160613 Nancy Schmidt 4250 N. Marine Dr. #1021 CHICAGO, 1160613 Robert Leetch 617 W.Addison #1 Chicago, IL 60613 Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A Chicago, IL 60613 James Gaebe John Staller Tomas Bissonnette 3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon Chicago, IL 60613 Chicago, IL 60613 #1001,1002 Chicago, IL 60613 Lynn Welter 4707 N. Magnolia Apt. 1S Chicago, IL 60640 Carol Browning 555 W. Cornelia #710 Chicago, IL 60657 Franklin O'Leary 3600 N. Lake Shore Drive 605 Chicago, IL 60613 Mary Metag 3520 N. Lake Shore Dr. 4M CHICAGO, II Olga Stiefel 3600 N. Lake Shore Dr. #1420 CHICAGO, II60613 3/1 In City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1 Status:_ Reason:. 014*001*******5-DIGIT 60657 PREIS, LYNN W. 555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739 Claim Number: 1021375 Index Number: 1421305030 1209 Waief Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i Status:_ Reason: 014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904 Claim Number: 1017729 Index Number: 1421111007 1186 Water Account Number: 300530125360 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: HELEN SHILLER of Ward 46. 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. he undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 'lease Print Name Alderman Edward M. Burke Chairman City of Chicago February 18, 201 1 -111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 - 007*001 *******5-DIGIT 60613 BERKE, RENA 3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231 Index Number: 1421106017 0000 Water Account Number: 463285463285 3/V// Telephone 312-744-3380 For Official Use Only: Ward:_- Intro. Date:. Status:_ Reason:_ Claim Number: 1019904 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein. OWNER SIGNATURE/ f l/-Ji^L^ DATE t talsitication nerein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 in).?: i? ■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■ 014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728 Index Number: 1421305030 1142 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019340 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 OWNER SIGNATU Very Truly Yours, Edward M. Burke tand I am subject to ifiUjties for perjury of falsification herein. DATE ^1^1 \\ MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll Status:_ Reason:. 007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342 Claim Number: 1019258 Index Number: 1416304039 1216 " Water Account Number: 463400463400" 201 I SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-! Status:_ Reason:. 007*001*******5-DIGIT 60613 HORN, JAMES L 3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455 Claim Number: 1022730 Index Number: 1421101035 1088 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. . I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATJ Very Truly Yours, ill ft( Alderman Edward M. Burke Chairman February 18, 201 City of Chicago Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1000835 1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111 007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339 Index Number: 1416304039 1161 Water Account Number: 300530331440 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. e undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. DATE 30// OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11 Status:_ Reason: 007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715 Claim Number: 1019541 Index Number: 1416301041 1824 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill Status:_ Reason:. 007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644 Claim Number: 1019907 Index Number: 1421110020 1232 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ilhrllillhl",V"h1MThl,liilIHMllHllHllllil Status:_ Reason:. 007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758 Claim Number: 1003502 Index Number: 1416301041 1844 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Cliairman February 18, 201 City of Chicago i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m - 007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019038 Index Number: 1421101034 1148 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/lownhouse 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 I, 2011. _the undersigned, on oath, Please Prim Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 1)1114411 II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!, 007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1005248 Index Number: 1416301041 1777 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/ Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago 111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11 007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003134 Index Number: 1416304039 1093 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Btirke Cliairman February 18, 201 City of Chicago 11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11 014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805 Index Number: 1421112012 1048 Water Account Number: 300530125209 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1016368 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name ( / l _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do hot 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 Teleplione February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11 Status:_ Reason:. 015*001 *******5-DIGIT 60657 URIBE, BEGONA 3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869 Claim Number: 1017731 Index Number: 1421111007 1581 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE w1 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111! Status:_ Reason:. 007*001*******5-DIGIT 60613 LOPEZ, INES 3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446 Claim Number: 1003170 Index Number: 1421101034 1559 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. I_\ KJ S LO ^ *Z_tne undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll Status:_ Reason:. 007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102 Claim Number: 1022399 Index Number: 1421101034 1390 Water Account Number: 590406463257 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath. Please Print Name OWNER SIGNATURE. DATE. 3 */" City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill Status:_ Reason:. 015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807 Claim Number: 1018173 Index Number: 1421 111007 1059 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Chairman City of Chicago 7. Telephone 312-744-3380 February 18, 2011 |.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I, 015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019347 Index Number: 1421111007 1463 Waler Account Number: 462479462479 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*// Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS -^^0228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone in February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1 Status:_ Reason:. 021*015******MIXED AADC 606 LUKES, FRANK J. 509 SHIP ST # 206 SAINT JOSEPH, MI 49085-1118 Claim Number: 1015971 Index Number: 1416305021 1023 Water Account Number: 300129024908 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 -11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 > 007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414 Index Number: 1421101034 1378 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_1 Intro. Date:. Status:_ Reason:_ Claim Number: 1018233 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name undersigned, on oath. depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein. OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111 007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552 llll-h-1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018214 Index Number: 1417407053 1014 Water Account Number: 300530313327~ '■ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. , Off-m-r <= Raver Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein. OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?/// Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 3|1 Telephone 312-744-3380 February 18,2011 'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll 012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011019 Index Number: 1417123021 1004 Water Account Number: 300530501506 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein. 'tt&JL OWNER SIGNATURE Very Truly Yours, ATE fr-SL-SL -&d I ( Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'" Status:_ Reason:. 007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744 Claim Number: 1000036 Index Number: 1416301041 1336 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer 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. I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago A Telephone 312-744-3380 February 18, 2011 -V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11- 007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020156 Index Number: 1421101034 1014 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ie 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. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ -11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1 Status:_ Reason:. 007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721 Claim Number: 1019286 Index Number: 1416301041 1217 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:__ r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin ii Status:_ Reason: 007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726 Claim Number: 1019675 Index Number: 1416301041 1332 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE . ? - / - // Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756 Status:_ Reason:. Claim Number: 1018951 Index Number: 1416301041 1820 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name Very Truly Yours, / Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602 Claim Number: 1009026 Index Number: 1421110020 1001 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. been paid and that I understand Alderman Edward M. Burke Chainnan City of Chicago Telephone 312-744-3380 February 18, 2011 |T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l 007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019690 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ Status:_ Reason:. 015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839 Claim Number: 1019290 Index Number: 1421111007 1077 Water Account Number: 462478462478 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein. OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE. Very Truly Yours, ' Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 '^fSNfr 228 City of Chicago 5/1 l\ Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M Status:_ Reason:. 007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333 Claim Number: 1003442 Index Number: 1416304039 1121 Water-Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 UJ I I'd. u)t»jT<=,C the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 =^8^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i Status:_ Reason:. 007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463 Claim Number: 1018220 Index Number: 1421101035 1101 Water Account Number: 300129027105' 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS undersigned, on oath, Please Print Name ^^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli Status:_ Reason:. 007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340 Claim Number: 1005211 Index Number: 1416301039 1169 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii Status:_ Reason:. 007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672 Claim Number: 1022394 Index Number: 1421110020 1293 Waler Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath. OWNER SIGNATURl City of Chicago (I Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ -i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III Status:_ Reason:. 007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231 Claim Number: 1019693 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 lAA- Alderman Edward M. Burke Chairman City of Chicago Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll Status:_ Reason:. 007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744 Claim Number: 1003434 Index Number: 1416301041 1089 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Commiltee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ,1m - i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H- 014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725 "'1J111111" 11" 11"1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1003973 Index Number: 1421305030 1085 Water Account Number: 300530117758 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111 Status:_ Reason:. 007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335 Claim Number: 1021102 Index Number: 1416304039 1224 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATURi City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll Status:_ Reason:. 007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331 Claim Number: 1019576 Index Number: 1416304039 1042 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011. I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1 Status:_ Reason:. 007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244 Claim Number: 1020246 Index Number: 1421106032 1047 Water Account Number: 462493462493 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: HELEN SHILLER of Ward 46. To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11 Status:_ Reason:. 007*001*******5-DIGIT 60613 WEIL, ILSA 4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761 Claim Number: 1002866 Index Number: 1416301041 1675 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630 Claim Number: 1003488 Index Number: 1421 110020 1507 Water Account Number: 462491462491 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640 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. ■^a?*228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: O'LEARY, FRANKLIN A. 3600 N LAKE SHORE DR APT 605 CHICAGO, IL 60613-4638 Claim Number: 1017975 Index Number: 1421110020 1093 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS $ . O L f* ft. /the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago \h111 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019998 February 18, 2011 -11-11111' 11 -11 -1 -11.......i|, |-,|| 007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244 Index Number: 1421106032 1027 Waler Accounl Number: 462493462493 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein. OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l|| 007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614 Index Number: 1421110020 1024 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1010895 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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. \( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I 0 : Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111 Status:_ Reason:. 007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762 Claim Number: 1004440 Index Number: 1416301041 1595 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oalh, 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 («inns -11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1 007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515 Index Number: 1416300029 1002 Water Account Number: 121061843801 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018804 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. Please Print Name the undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein. OWNER SIG Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:._ Intro. Date:_ |||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II, Status:_ Reason:. 007*001 *******5-DIGIT 60613 STALLER, JOHN 3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440 Claim Number: 1018246 Index Number: 1421 101034 1618 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,. Status:_ Reason:. 007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445 Claim Number: 1015334 Index Number: 1421101034 1645 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 llilllllllTlll|-ll-|lllllTlhllllll- 012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783 1|||ll.l|1,|.l||ll For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1023207 Index Number: 1417105023 1004 Water Account Number: 65/ /12592473 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. , LHfjJ K. U/gCf&iC^ undersigned on oath> Please Print Name depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS ^g^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil Status:_ Reason:. 007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903 Claim Number: 1018954 Index Number: 1420214018 0000 Water Account Number: 466394466094 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-" ii Status:_ Reason:. 007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754 Claim Number: 1002732 Index Number: 1416301041 1661 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^MS\^Hfc QMlft frj^flur^ersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201J For Official Use Only: Ward:_- Intro. Date:_ "■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili Status:_ Reason:. 007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302 Claim Number: 1005171 Index Number: 1416304039 1034 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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) ■*SSI*>228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone 1)0147(1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11 Status:_ Reason:. 007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304 Claim Number: 1019314 Index Number: 1416304039 1064 Waler Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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. Edward M. Burke / f3> . MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 fDARdfg' L, ff)pr^(mS the undersigned, on oath, Please Print Name Very Truly Yours, Alderman Edward M. Burke Cliaimian City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I Status:_ Reason:. 007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721 Claim Number: 1018776 Index Number: 1416301041 1163 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_■ Intro. Date:_ iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill Status:_ Reason: 014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728 Claim Number: 1020657 Index Number: 1421305030 1181 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!! Status:_ Reason:. 007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761 Claim Number: 1003031 Index Number: 1416301041 1783 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS »o»gSJ«,228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i Status:_ Reason:. 007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721 Claim Number: 1016194 Index Number: 1416301041 1001 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE 2_ - 2--* - ZW/ City of Chicago Alderman Edward M. Burke Chairman Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405 Claim Number: 1022054 Index Number: 1421101034 1138 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^ 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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl Status:_ Reason:. 007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701 Claim Number: 1018661 Index Number: 1416303035 1139 Water Account Number: 300530319127 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNAT Alderman Edward M. Burke Chairman February 18,2011 City of Chicago Telephone 312-744-3380 HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 - 007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448 Index Number: 1421101035 1201 Water Account Number: 463253463253 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019313 Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. 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. Jhe undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE :<^Ldate ^eA^uu^ 32y <26/r/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Teleplione 3L2-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017134 February 18, 2011 in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■ 007*001 *******5-DIGIT 60613 RICHEY, PARK E. 3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678 Index Number: 1421110020 1563 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011. jhe undersigned, on oath, Please Print Name depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein. wAlU- KajJ^j date Z'ZX-)I_ OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 5/1 hi Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111! Status:_ Reason:. 014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907 Claim Number: 1015826 Index Number: 1421111007 1393 Water Account Number: 300530125377 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m Status:_ Reason:. 007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457 Claim Number: 1005302 Index Number: 1421101035 1194 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.|| ■ i Status:_ Reason:. 007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748 Claim Number: 1020067 Index Number: 1416301041 1529 Water Account Number: 430751430751 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS OWNER SIGNATU Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i Status:_ Reason: 014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904 Claim Number: 1019674 Index Number: 1421111007 1213 Water Account Number: 462480462480 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,! Status:, Reason 007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484 Claim Number: 1017073 Index Number: 1421101034 1607 Water Account Number 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. _the undersigned, on oath, depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^**-^- bn^y DATE fop 34- 3eH City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722 Claim Number: 1019816 Index Number: 1416301041 1326 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_' Intro. Date:_ 111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1 Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453 Claim Number: 1022727 Index Number: 1421101035 1012 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name .the undersigned, on oath, Alderman Edward M. Burke Chairman City of Chicago 4 Telephone 312-744-3380 February 18, 2011 Miiilliillliuli"lIMIIiiliiili1'..... 014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944 For Official Use Only: Ward: _ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003440 Index Number: 1421111007 1084 Water Account Number: 300530125377 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ■ Da A- Dn s ,£_the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I 0 Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS n Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephotie February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111 Status:_ Reason:. 007*001 *******5-DIGIT 60613 CLARK. MARY 3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216 Claim Number: 1005187 Index Number: 1421 106030 1050 Water Account Number: 300530230002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111 Status:_ Reason:. 014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733 Claim Number: 1020802 Index Number: 1421305030 1231 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS DATE. 228 3/, Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance Telephone 312-744-3380 February 18, 2011 iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11 007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021570 Index Number: 1416301041 1101 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ' OWNER SIGNATURE Very Truly Yours, Edward M. Burke perjury of falsification herein. DATE 3-/- JO// MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS etifS^.228 Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 20 ll For Official Use Only: Ward:_ Intro. Date:_ ||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644 Claim Number: 1019934 Index Nu mber: 1421110020 1213 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh, depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll|| Status:_ Reason: 007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502 Claim Number: 1003004 Index Number: 1416300027 1032 Water Account Number: 300530323706 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011. undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE. Alderman Edward M. Burke Chairman City of Chicago February 18, 2011 T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 - 007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473 Index Number: 1421101034 1437 Water Account Number: 463256463256 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1022485 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial pivi.Last Name Afe /«. n 2Claimant Address'-r'x'SD /V. marine. Pr- idx1-/3Claimant City, State & Zip CodeCitvStateZip Code 1 C /| / C <3- ^ |
Claimant Telephone |
Office |
Home : |
Cellular |
4 |
1 |
773' |
|
5 |
Claimant Birthdate: |
Must be 65 years of age, or older as of 3/11/2009 11</'"3-7/'31 (jfj/mm/yyyy format |
6 |
Property Tax Number: |
Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN | /*/ -| - \?)ol - \c"^ I - \/-^^-> |
7 |
Water Account Number: |
3 <te Letter xx-xx-xxx-xxxx-xxx format |
8 |
Building Type: |
^ Condo r Townhouse r Co-op Apartment |
9 |
Signature information on Next Page JL^iJit-,^ ^H.- (L-&$c^->-^<*--?<-S |
|
|
|
|
|
|
|
|
Please print this and return application to your aldermanic office before July 1
HOME I AGENDAS I NEWS I COMMITTEE INFO I RESOURCES I CONTACT US I SITEMAP
O 2008 Chicago Cty Couhei-Commltea on Flnanba. Al Rights Rwaivatf Um of this websfts stgrMas yogr agrearnant to lha Jjnia\aUfla\>^ Qoto£lhi^l£pJat>-. Site Devetopad by OieKKLWjBtLMJMaHMut1
Senior Citizens Annual Refund Application
Note: *AII Fields Must B« Filled In
Claimant Name
First_
I 0 C(Lc-4/V
Middle Initial
Last Name
Claimant Address
Claimant City, State & Zip Code
City_
State
1
Zip Code
bop 13
Claimant Telephone
Office_
Home
Cellular
r
Claimant Birthdate:
Must be 65 years of age, or older as of 3/11/2009 ....- dd/mm/yyyy format
Property Tax Number:
Water Account Number:
Example PIN Number (XX-XX-XXX-XXX-XXXX)
PIN
I. -J ".' " .T xx-xx-xxx-xi
xxxx-xxx format
Building Type:
f<f^ondo)
Townhouse Co-op Apartment
Signature information on Next Page 0/--d-*- (J^f^J^t//^-
Please print this and return application to your aldermanlc office before July 1
Senior Citizens Annual Refund Application
|
|
Note: *A1I Fields Must Be Filled In |
1 |
Claimant Name |
First |
Middle Initial Ts. |
Last Name |
Q(A\ (A M |
|
1Helen Urchenko Marianne Gaul Maryette Goebel 4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive Chicago, IL 60613 11-C #820 Chicago, IL 60613 Chicago, IL 60657 Marion Cardella 4250 N. Marine Dr. #1824 Chicago, II60613 Ofelia Castellanos 3950 N. Lake Shore #1408 B Chicago, IL 60613 Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B Chicago, IL 60613 Ronald Winer 720 W. Gordon Terr., 6-H Chicago, IL 60613 Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613 William Wax 3600 N Lake Shore Dr. #1106 Chicago, IL 60613 Lynn Preis 555 W. Cornelia #2011 Chicago, IL 60657 Jack Marrott 4300 N. Marine Dr. #303 CHICAGO, II 60613 Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613 Eva Levi 4300 N. Marine Dr. #902 CHICAGO, II60613 Mihai Smarandescu 3950 N Lake Shore Dr. #2012C Chicago, IL 60613 Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657 John Hurm 615 W.Addison #2 CHICAGO, II 60613 Barbara Ostert 3600 N. Lake Shore Drive 609 Chicago, IL 60613 JEAN CIZEK 3600 N. LAKE SHORE DRIVE #1922 CHICAGO, 1160613 Betty Hamilton 3900 North Lake Shore Drive Apt. 10C CHICAGO, IL60613 Carmelo Vasques 4250 N. Marine Drive #527 Chicago, IL 60613 Ayumu Miura 3600 N. Lake Shore Drive Chicago, IL 60613 MARIAN HORWITZ Marilyn Smull Barbara Olken 3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr. #718 #1921 #307 CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613 Robert Milaskey 3930 N. Pine Grove #2305 Chicago, IL 60613 Ursula Carnell 4170 North Marine Drive #7E CHICAGO, 1160613 Sandra Honaker 4170 N. Marine Dr. Apt. 14B Chicago, IL 60613 Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613 Irma Parker 4170 N. Marine Dr. #11J CHICAGO, 1160613 Irene Wojnarowski 3900 N Lake Shore Dr., 6E Apt. 6E Chicago, IL 60613 Hyrhan Orbach 4250 N. Marine Dr. #1516 Chicago, IL 60613 Margie Marcus 4170 N. Marine #9D Chicago, IL 60613 Judy Condylis 4250 N. Marine Dr. #915 Chicago, IL 60613 Bilya Cicekli Florence Brown Marian Dapin 4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr. Apt. 2305 #1628E CHICAGO, II 60657 Chicago, IL 60613 CHICAGO, II60613 Sylvia Levine 4170 N. Marine Drive #9J Chicago, IL 60613 Mary Clark 3740 N. Lake Shore Drive Chicago, IL 60640 Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613 Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657 Chris Rones 4334 N Clarendon #204 Chicago, IL 60613 Sylvia Liss 555 W Cornelia #912 Chicago, IL 60657 Edna Firse Michael Rosenberg Muriel Weinberg 4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr. #2523 Chicago, IL 60613 17E CHICAGO, II 60613 CHICAGO, II 60613 Sarah Najera 1460 W.Argyle CHICAGO, II 60640 William Winter 4170 N. Marine Dr. #14A CHICAGO, 1160613 Mildred Eisenstadt 4250 N Marine Dr. #301 Chicago, II60613 Richard Anders 3950 N. Lake Shore Drive #1030 Chicago, IL 60613 John Vargo 3550 North Lake Shore Drive #614 Chicago, IL 60657 Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL Ann Drake 3550 N. Lake Shore Dr. 2417 CHICAGO, II 60657 Dzemal Ikanovic 4848 N. Winthrop, #1314 Chicago, IL 60640 Rose Shure 3750 N. Lake Shore Dr. 16E CHICAGO, II 60657 Ruth Ross 3550 N. Lake Shore Dr. #2618 CHICAGO, II 60657 Magdalena Sanchez 3950 N. Lake Shore Drive 215-c Dorothy Troubb 4250 N. Marine Dr. #434 CHICAGO, 1160613 Rose Ross 3600 N. Lake Shore Drive #1011 Chicago, IL 60613 Betty Norman 4250 N Marine Dr. #1924 Chicago, IL 60613 Lawrence Kuhr 3600 N. Lake Shore Dr. #819 CHICAGO, 1160613 Marvin Benn 4170 N. Marine Drive Apt. 12K Chicago, IL 60613 Joyce Quimby 4250 N. Marine Dr. #1933 CHICAGO, 1160613 Regina Llorente 3950 N. Lake Shore Dr. 806B Chicago, IL 60613 John Boyle 4300 N. Marine Dr. #405 CHICAGO, 1160613 Richard Michalski 3950 N. Lake Shore #1206B Chicago, IL 60613 Janet Macdougall 3600 N. Lake Shore Dr. #1801 Chicago, IL 60613 Mits Yamashita 4343 N. Clarendon 1113 Chicago, IL 60613 Sidney Bulmash 4250 N. Marine Dr. #721 CHICAGO, 1160613 Leonard Miller 3900 N. Lake Shore Dr. #14J CHICAGO, II 60613 Remedios Ponce Vonda Urban Eleanor Dahl 3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr. #1806B CHICAGO, II60657 #1101 Chicago, IL 60613 Chicago, IL 60613 Anna Vulekas 3930 N Pine Grove #1116 Chicago, IL 60613 James O'Rourke 4170 N. Marine Dr. #21C Chicago, IL 60613 Mary Ann David 647 W. Buena 2E Chicago, IL 60613 Hedwig Parker 4250 N. Marine Dr. #2533 CHICAGO, 1160613 Jimmye Ross 700 W. Bittersweet Place #809 Chicago, IL 60613 Bertha Cousins 4008 N. Clarendon UnitB Chicago, IL 60613 Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J Chicago, IL 60613 Edith Hirsch 3600 N. Lake Shore Drive #1520 CHICAGO, 1160613 Enid Frandzel 3700 N. Lake Shore Drive, #310 Chicago, IL 60613 Nancy Hudson 3900 N. Lake Shore Dr Apt. 13A Chicago, IL 60613 Doris Wilterding 4170 N. Marine Dr. #15G Chicago, 1160613 Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613 Irene Goldfarb 3930 N. Pine Grove #1616 CHICAGO, 1160613 Mary Wagner 3950 N. Lake Shore Drive #718c Chicago, IL 60613 Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613 Dorthea Hely 3900 N.LAKE SHORE DR. #12C CHICAGO, II 60613 Phyllis Marks 4250 N. Marine #1435 Chicago, IL 60613 Nancy Kondo 3950 N. Lake Shore Dr. Chicago, IL 60613 Jo Joffe 656 W. Buena #2 Chicago, IL 60613 Archie Kirby 4170 N Marine Dr. #7F Chicago, IL 60613 Barbara Bengsten 3600 N. Lake Shore Dr. #2314 Chicago, IL 60613 Walter Kitt 3750 N. Lake Shore Dr. #10D CHICAGO, 1160613 Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613 Ann Willey 3950 North Lake Shore Drive #B2010 CHICAGO, II 60613 Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613 Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613 Cecilia Kangles 700 W. Bittersweet #306 Chicago, IL 60613 Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613 Theresa Eck 1458 W. Argyle CHICAGO, II60640 Merry Gorman 4200 N. Marine #801 Chicago, IL 60613 Daisy Driss 3550 N. Lake Shore Dr. CHICAGO, II 60657 Elsie Sichau 3600 N. Lake Shore Dr. #402 CHICAGO, 1160613 Elvira Semersky 4250 N. MARINE DR. #1401 CHICAGO, IL 60613 Barbara Chapman Eleanore Strunk Doris Endo 3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen Chicago, IL 60657 #1028 Chicago, IL 60640 CHICAGO, II 60657 Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d Chicago, IL 60613 Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613 W. Malone 3550 N. Lake Shore Dr. #1817 Chicago, IL 60657 John Hopkins 4170 N. Marine Dr. #18A CHICAGO, 1160613 Bernardine Trinen 3600 N. Lake Shore Dr. #2806 CHICAGO, 1160613 Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603 Chicago, IL 60657 Martine March 4250 N. Marine Drive 824 Chicago, IL 60613 Gertraud Eberson 3600 N. Lake Shore Dr. #308 CHICAGO, 1160613 Rita Ginenskaya 810 W. Grace #909 Chicago, 1160613 John Twardowski 810 W. Grace St. #2703 Chicago, IL 60613 Betty Cannon 3900 N. Lake Shore Dr. Apt. 16H Chicago, IL 60613 Frances Stokes 4250 N Marine Dr. #413 Chicago, IL 60613 Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657 Sondra Rosin 3950 N. Lake Shore Drive #2205 Chicago, IL 60613 Marvin Berns 4300 N. Marine Dr Apt. 602 Chicago, IL 60613 Lawrence Joseph 3950 N. Lake Shore Drive #1920D Chicago, IL 60613 Evelyn Russell 3600 N. Lake Shore Dr. #907 Chicago, IL 60613 Theresa Benoy 3550 N. Lake Shore Dr Apt. 821 Chicago, IL 60657 Frank Lukes 690 IRVING PARK RD. #D-3 CHICAGO, IL 60613 Vasil Truchly 4300 North Marine Drive #904 CHICAGO, 1160613 Emily Klusis 3550 N. Lake Shore Dr. #1822 Chicago, IL 60657 Priscilla Aguilar 4343 N. Clarendon #411 CHICAGO, IL 60613 Lois RETZLOFF 4343 N. Clarendon #2617 CHICAGO, 1160613 Alba Toro 4343 N. Clerendon 1213 Chicago, IL 60613 Sylvia Thall 3600 N Lake Shore Dr. #2305 Chicago, IL 60613 Rena Berke 3750 N Lake Shore Dr. #4G Chicago, IL 60613 Elaine Harris 3750 N Lake Shore Dr. #13H Chicago, IL 60613 Benne Whitlinger 4250 N. Marine Dr. #603 CHICAGO, II 60613 James L. Horn 3900 N. Lake Shore Dr. Apt. 17D Chicago, 1160613 Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657 Charlotte Seinfeld PARK RICHEY Natalie Saltiel 4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive #1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613 Beverly Ashford 672 W. Irving Park #G2 Chicago, IL 60613 Roy Granberg 3550 N. Lake Shore Dr. #417 CHICAGO, IL 60657 Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613 Donine Livingston 555 W.Cornelia 1004 Chicago, IL 60657 Anita Po 3600 N. Lake Shore Dr. Apt. 421 Chicago, IL 60613 Sonya Panos 3930 N. Pine Grove #603 Chicago, IL 60613 Margaret Coogan 3550 N.Lake Shore #603 Chicago, IL 60657 Renee Schwartz 4250 N. Marine Dr. #1922 CHICAGO, 1160613 Marcelle Pour 3750 N. Lake Shore Drive #5B Chicago, IL 60613 1 Rosemary Blume 4250 N. Marine #2604 CHICAGO, II 60613 Pearl Grau 4250 N. Marine Dr. #1309 CHICAGO, 1160613 Victoria Rosa 810 W. Grace #1708 Chicago, 1160613 Ruth Singer 3930 N. Pine Grove CHICAGO, 1160613 Claire Buckner 3550 N. Lake Shore Dr. CHICAGO, II 60657 Joyce Penner 4250 N Marine Dr. #1733N Chicago, IL 60613 Robert Comein 4170 North Marine Drive #7B Chicago, IL 60613 Mary Lambros 3600 N. Lake Shore Drive 1415 Chicago, IL 60613 Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613 LOUETTA IRWIN 3600 N. LAKE SHORE DRIVE #1501 CHICAGO, IL 60613 Sidney Kaz 555 W. Cornelia #1411 Chicago, IL 60657 llsa Weil 4250 N. Marine Dr. #430 CHICAGO, 1160613 Mary Smelser Mary Ludwig Leo Prath 3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr. Chicago, IL 60613 #12C Chicago, IL 60613 Chicago, 60613 Alice Fox 3950 N. Lake Shore Drive #1811 Chicago, Adrienne Singer 3900 N. Lake Shore Dr. #10J Chicago, IL 60613 Paula Mathieu 3550 N. Lake Shore Drive Chicago, IL 60657 Rhoda Kachalon 4200 N. Marine Drive 60613 Zilha Melkic 4848 N. Winthrop #407 Chicago, IL 60640 Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613 Ernest Casper 4250 N. Marine #2204 Chicago, IL Begona Uribe 3550 N. Lake Shore Drive #2224 Chicago, IL 60657 Esther Witek 4170 N. Marine Dr. #21M Chicago, IL 60613 Georgette Spertus 4250 N. Marine Dr. #1702 CHICAGO, IL 60613 Laurie Brewster 810W. Grace #2003 CHICAGO, 1160613 Isabel Carpio 3600 North Lake Shore Drive #201 CHICAGO, 1160613 Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613 Fred Heilizer 4170 N. Marine Dr. #12E CHICAGO, 1160613 Lois Mayer 3900 N. Lake Shore Drive #22J Chicago, IL 60613 Judi'th Corbeille 700 W. Bittersweet Apt. 408 Chicago, IL 60613 Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613 Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613 Helen Coleman 4250 N. Marine Dr. 1024 Chicago, IL 60613 Shirley Lynn 4250 N Marine Dr. #909 Chicago, IL 60613 Alberta Rotto 3600 N. Lake Shore Dr. #1320 CHICAGO, IL 60613 Lorraine Goldberg 4170 N. Marine Dr. #23E CHICAGO, II 60613 Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL Milagros Rivera 3600 N. LSD #1521 Chicago, IL 60613 Sofiya Zarkhina 810 W. Grace #608 Chicago, 1160613 Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657 Ida Lockett 555 W. Cornelia #1110 Chicago, IL 60657 Louis Calandra 4170 N Marine Dr 24E Chicago, IL 60613 Helene Herson 3600 N. LAKE SHORE DR. #1601 CHICAGO, II 60613 Bridget Semper 3930 N. Pine Grove Ave. #2001 Chicago, IL 60613 Ruth Swislow 3920 N. Lake Shore Drive Chicago, IL 60613 Louise Klis 3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613 Zola VanDeraa 4423 N Beacon Chicago, IL 60640 Elizabeth Ambo 555 W Cornelia #1008 Chicago, IL 60657 Michael Kirk 3950 N. Lake Shore Drive, #1500 Chicago, IL 60613 Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714 Chicago, IL 60613 Dorothy Chapman 4250 N. Marine Drive #309 Chicago, IL 60613 Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613 Don Karper 4170 N Marine Drive #22A Chicago, IL 60613 Costas Petros 3600 N Lake Shore Dr. #1201 Chicago, IL 60613 Elaine Manilow 3750 N. Lake Shore Drive 2c Chicago, IL 60613 Joseph Nieminski 536 W. Cornelia Apt. 1N Chicago, IL 60657 Claire Glasser 4250 N. Marine Dr. #1136 CHICAGO, II 60613 BARBARA HENNEY 3600 N. Lake Shore Dr. #1918 CHICAGO, 1160613 Larisa Bogach KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613 Lindsay Humpal Denise Benham Lenore Glanz 717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr. 719 W. Montrose Chicago, IL 60613 Apt. 405 Chicago, IL 60613 Chicago, IL 60657 Jessie Alford 4250 N Marine Dr. #607 Chicago, IL 60613 Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613 Ines Lopez 3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613 Jose Buergo 3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613 Marion Nathan 3900 N. Lake Shore Dr. Apt. 12A Chicago, IL 60613 Steven Spinuzza 4300 N. Marine Dr. #1704 CHICAGO, 1160613 Nancy Schmidt 4250 N. Marine Dr. #1021 CHICAGO, 1160613 Robert Leetch 617 W.Addison #1 Chicago, IL 60613 Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A Chicago, IL 60613 James Gaebe John Staller Tomas Bissonnette 3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon Chicago, IL 60613 Chicago, IL 60613 #1001,1002 Chicago, IL 60613 Lynn Welter 4707 N. Magnolia Apt. 1S Chicago, IL 60640 Carol Browning 555 W. Cornelia #710 Chicago, IL 60657 Franklin O'Leary 3600 N. Lake Shore Drive 605 Chicago, IL 60613 Mary Metag 3520 N. Lake Shore Dr. 4M CHICAGO, II Olga Stiefel 3600 N. Lake Shore Dr. #1420 CHICAGO, II60613 3/1 In City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1 Status:_ Reason:. 014*001*******5-DIGIT 60657 PREIS, LYNN W. 555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739 Claim Number: 1021375 Index Number: 1421305030 1209 Waief Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i Status:_ Reason: 014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904 Claim Number: 1017729 Index Number: 1421111007 1186 Water Account Number: 300530125360 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: HELEN SHILLER of Ward 46. 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. he undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 'lease Print Name Alderman Edward M. Burke Chairman City of Chicago February 18, 201 1 -111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 - 007*001 *******5-DIGIT 60613 BERKE, RENA 3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231 Index Number: 1421106017 0000 Water Account Number: 463285463285 3/V// Telephone 312-744-3380 For Official Use Only: Ward:_- Intro. Date:. Status:_ Reason:_ Claim Number: 1019904 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein. OWNER SIGNATURE/ f l/-Ji^L^ DATE t talsitication nerein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 in).?: i? ■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■ 014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728 Index Number: 1421305030 1142 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019340 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 OWNER SIGNATU Very Truly Yours, Edward M. Burke tand I am subject to ifiUjties for perjury of falsification herein. DATE ^1^1 \\ MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll Status:_ Reason:. 007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342 Claim Number: 1019258 Index Number: 1416304039 1216 " Water Account Number: 463400463400" 201 I SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-! Status:_ Reason:. 007*001*******5-DIGIT 60613 HORN, JAMES L 3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455 Claim Number: 1022730 Index Number: 1421101035 1088 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. . I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATJ Very Truly Yours, ill ft( Alderman Edward M. Burke Chairman February 18, 201 City of Chicago Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1000835 1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111 007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339 Index Number: 1416304039 1161 Water Account Number: 300530331440 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. e undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. DATE 30// OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11 Status:_ Reason: 007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715 Claim Number: 1019541 Index Number: 1416301041 1824 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill Status:_ Reason:. 007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644 Claim Number: 1019907 Index Number: 1421110020 1232 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ilhrllillhl",V"h1MThl,liilIHMllHllHllllil Status:_ Reason:. 007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758 Claim Number: 1003502 Index Number: 1416301041 1844 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Cliairman February 18, 201 City of Chicago i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m - 007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019038 Index Number: 1421101034 1148 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/lownhouse 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 I, 2011. _the undersigned, on oath, Please Prim Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 1)1114411 II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!, 007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1005248 Index Number: 1416301041 1777 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/ Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago 111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11 007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003134 Index Number: 1416304039 1093 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Btirke Cliairman February 18, 201 City of Chicago 11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11 014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805 Index Number: 1421112012 1048 Water Account Number: 300530125209 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1016368 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name ( / l _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do hot 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 Teleplione February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11 Status:_ Reason:. 015*001 *******5-DIGIT 60657 URIBE, BEGONA 3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869 Claim Number: 1017731 Index Number: 1421111007 1581 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE w1 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111! Status:_ Reason:. 007*001*******5-DIGIT 60613 LOPEZ, INES 3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446 Claim Number: 1003170 Index Number: 1421101034 1559 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. I_\ KJ S LO ^ *Z_tne undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll Status:_ Reason:. 007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102 Claim Number: 1022399 Index Number: 1421101034 1390 Water Account Number: 590406463257 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath. Please Print Name OWNER SIGNATURE. DATE. 3 */" City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill Status:_ Reason:. 015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807 Claim Number: 1018173 Index Number: 1421 111007 1059 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Chairman City of Chicago 7. Telephone 312-744-3380 February 18, 2011 |.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I, 015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019347 Index Number: 1421111007 1463 Waler Account Number: 462479462479 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*// Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS -^^0228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone in February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1 Status:_ Reason:. 021*015******MIXED AADC 606 LUKES, FRANK J. 509 SHIP ST # 206 SAINT JOSEPH, MI 49085-1118 Claim Number: 1015971 Index Number: 1416305021 1023 Water Account Number: 300129024908 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 -11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 > 007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414 Index Number: 1421101034 1378 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_1 Intro. Date:. Status:_ Reason:_ Claim Number: 1018233 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name undersigned, on oath. depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein. OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111 007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552 llll-h-1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018214 Index Number: 1417407053 1014 Water Account Number: 300530313327~ '■ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. , Off-m-r <= Raver Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein. OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?/// Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 3|1 Telephone 312-744-3380 February 18,2011 'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll 012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011019 Index Number: 1417123021 1004 Water Account Number: 300530501506 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein. 'tt&JL OWNER SIGNATURE Very Truly Yours, ATE fr-SL-SL -&d I ( Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'" Status:_ Reason:. 007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744 Claim Number: 1000036 Index Number: 1416301041 1336 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer 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. I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago A Telephone 312-744-3380 February 18, 2011 -V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11- 007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020156 Index Number: 1421101034 1014 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ie 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. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ -11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1 Status:_ Reason:. 007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721 Claim Number: 1019286 Index Number: 1416301041 1217 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:__ r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin ii Status:_ Reason: 007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726 Claim Number: 1019675 Index Number: 1416301041 1332 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE . ? - / - // Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756 Status:_ Reason:. Claim Number: 1018951 Index Number: 1416301041 1820 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name Very Truly Yours, / Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602 Claim Number: 1009026 Index Number: 1421110020 1001 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. been paid and that I understand Alderman Edward M. Burke Chainnan City of Chicago Telephone 312-744-3380 February 18, 2011 |T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l 007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019690 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ Status:_ Reason:. 015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839 Claim Number: 1019290 Index Number: 1421111007 1077 Water Account Number: 462478462478 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein. OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE. Very Truly Yours, ' Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 '^fSNfr 228 City of Chicago 5/1 l\ Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M Status:_ Reason:. 007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333 Claim Number: 1003442 Index Number: 1416304039 1121 Water-Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 UJ I I'd. u)t»jT<=,C the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 =^8^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i Status:_ Reason:. 007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463 Claim Number: 1018220 Index Number: 1421101035 1101 Water Account Number: 300129027105' 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS undersigned, on oath, Please Print Name ^^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli Status:_ Reason:. 007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340 Claim Number: 1005211 Index Number: 1416301039 1169 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii Status:_ Reason:. 007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672 Claim Number: 1022394 Index Number: 1421110020 1293 Waler Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath. OWNER SIGNATURl City of Chicago (I Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ -i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III Status:_ Reason:. 007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231 Claim Number: 1019693 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 lAA- Alderman Edward M. Burke Chairman City of Chicago Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll Status:_ Reason:. 007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744 Claim Number: 1003434 Index Number: 1416301041 1089 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Commiltee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ,1m - i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H- 014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725 "'1J111111" 11" 11"1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1003973 Index Number: 1421305030 1085 Water Account Number: 300530117758 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111 Status:_ Reason:. 007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335 Claim Number: 1021102 Index Number: 1416304039 1224 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATURi City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll Status:_ Reason:. 007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331 Claim Number: 1019576 Index Number: 1416304039 1042 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011. I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1 Status:_ Reason:. 007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244 Claim Number: 1020246 Index Number: 1421106032 1047 Water Account Number: 462493462493 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: HELEN SHILLER of Ward 46. To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11 Status:_ Reason:. 007*001*******5-DIGIT 60613 WEIL, ILSA 4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761 Claim Number: 1002866 Index Number: 1416301041 1675 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630 Claim Number: 1003488 Index Number: 1421 110020 1507 Water Account Number: 462491462491 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640 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. ■^a?*228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: O'LEARY, FRANKLIN A. 3600 N LAKE SHORE DR APT 605 CHICAGO, IL 60613-4638 Claim Number: 1017975 Index Number: 1421110020 1093 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS $ . O L f* ft. /the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago \h111 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019998 February 18, 2011 -11-11111' 11 -11 -1 -11.......i|, |-,|| 007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244 Index Number: 1421106032 1027 Waler Accounl Number: 462493462493 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein. OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l|| 007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614 Index Number: 1421110020 1024 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1010895 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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. \( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I 0 : Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111 Status:_ Reason:. 007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762 Claim Number: 1004440 Index Number: 1416301041 1595 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oalh, 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 («inns -11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1 007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515 Index Number: 1416300029 1002 Water Account Number: 121061843801 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018804 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. Please Print Name the undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein. OWNER SIG Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:._ Intro. Date:_ |||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II, Status:_ Reason:. 007*001 *******5-DIGIT 60613 STALLER, JOHN 3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440 Claim Number: 1018246 Index Number: 1421 101034 1618 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,. Status:_ Reason:. 007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445 Claim Number: 1015334 Index Number: 1421101034 1645 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 llilllllllTlll|-ll-|lllllTlhllllll- 012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783 1|||ll.l|1,|.l||ll For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1023207 Index Number: 1417105023 1004 Water Account Number: 65/ /12592473 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. , LHfjJ K. U/gCf&iC^ undersigned on oath> Please Print Name depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS ^g^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil Status:_ Reason:. 007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903 Claim Number: 1018954 Index Number: 1420214018 0000 Water Account Number: 466394466094 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-" ii Status:_ Reason:. 007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754 Claim Number: 1002732 Index Number: 1416301041 1661 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^MS\^Hfc QMlft frj^flur^ersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201J For Official Use Only: Ward:_- Intro. Date:_ "■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili Status:_ Reason:. 007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302 Claim Number: 1005171 Index Number: 1416304039 1034 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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) ■*SSI*>228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone 1)0147(1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11 Status:_ Reason:. 007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304 Claim Number: 1019314 Index Number: 1416304039 1064 Waler Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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. Edward M. Burke / f3> . MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 fDARdfg' L, ff)pr^(mS the undersigned, on oath, Please Print Name Very Truly Yours, Alderman Edward M. Burke Cliaimian City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I Status:_ Reason:. 007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721 Claim Number: 1018776 Index Number: 1416301041 1163 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_■ Intro. Date:_ iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill Status:_ Reason: 014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728 Claim Number: 1020657 Index Number: 1421305030 1181 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!! Status:_ Reason:. 007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761 Claim Number: 1003031 Index Number: 1416301041 1783 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS »o»gSJ«,228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i Status:_ Reason:. 007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721 Claim Number: 1016194 Index Number: 1416301041 1001 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE 2_ - 2--* - ZW/ City of Chicago Alderman Edward M. Burke Chairman Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405 Claim Number: 1022054 Index Number: 1421101034 1138 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^ 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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl Status:_ Reason:. 007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701 Claim Number: 1018661 Index Number: 1416303035 1139 Water Account Number: 300530319127 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNAT Alderman Edward M. Burke Chairman February 18,2011 City of Chicago Telephone 312-744-3380 HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 - 007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448 Index Number: 1421101035 1201 Water Account Number: 463253463253 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019313 Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. 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. Jhe undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE :<^Ldate ^eA^uu^ 32y <26/r/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Teleplione 3L2-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017134 February 18, 2011 in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■ 007*001 *******5-DIGIT 60613 RICHEY, PARK E. 3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678 Index Number: 1421110020 1563 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011. jhe undersigned, on oath, Please Print Name depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein. wAlU- KajJ^j date Z'ZX-)I_ OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 5/1 hi Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111! Status:_ Reason:. 014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907 Claim Number: 1015826 Index Number: 1421111007 1393 Water Account Number: 300530125377 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m Status:_ Reason:. 007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457 Claim Number: 1005302 Index Number: 1421101035 1194 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.|| ■ i Status:_ Reason:. 007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748 Claim Number: 1020067 Index Number: 1416301041 1529 Water Account Number: 430751430751 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS OWNER SIGNATU Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i Status:_ Reason: 014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904 Claim Number: 1019674 Index Number: 1421111007 1213 Water Account Number: 462480462480 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,! Status:, Reason 007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484 Claim Number: 1017073 Index Number: 1421101034 1607 Water Account Number 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. _the undersigned, on oath, depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^**-^- bn^y DATE fop 34- 3eH City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722 Claim Number: 1019816 Index Number: 1416301041 1326 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_' Intro. Date:_ 111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1 Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453 Claim Number: 1022727 Index Number: 1421101035 1012 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name .the undersigned, on oath, Alderman Edward M. Burke Chairman City of Chicago 4 Telephone 312-744-3380 February 18, 2011 Miiilliillliuli"lIMIIiiliiili1'..... 014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944 For Official Use Only: Ward: _ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003440 Index Number: 1421111007 1084 Water Account Number: 300530125377 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ■ Da A- Dn s ,£_the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I 0 Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS n Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephotie February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111 Status:_ Reason:. 007*001 *******5-DIGIT 60613 CLARK. MARY 3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216 Claim Number: 1005187 Index Number: 1421 106030 1050 Water Account Number: 300530230002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111 Status:_ Reason:. 014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733 Claim Number: 1020802 Index Number: 1421305030 1231 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS DATE. 228 3/, Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance Telephone 312-744-3380 February 18, 2011 iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11 007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021570 Index Number: 1416301041 1101 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ' OWNER SIGNATURE Very Truly Yours, Edward M. Burke perjury of falsification herein. DATE 3-/- JO// MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS etifS^.228 Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 20 ll For Official Use Only: Ward:_ Intro. Date:_ ||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644 Claim Number: 1019934 Index Nu mber: 1421110020 1213 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh, depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll|| Status:_ Reason: 007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502 Claim Number: 1003004 Index Number: 1416300027 1032 Water Account Number: 300530323706 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011. undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE. Alderman Edward M. Burke Chairman City of Chicago February 18, 2011 T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 - 007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473 Index Number: 1421101034 1437 Water Account Number: 463256463256 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1022485 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial pivi.Last Name Afe /«. n 2Claimant Address'-r'x'SD /V. marine. Pr- idx1-/3Claimant City, State & Zip CodeCitvStateZip Code 1 C /| / C <3- ^Claimant TelephoneOfficeHome :Cellular4 1 773'5Claimant Birthdate:Must be 65 years of age, or older as of 3/11/2009 11</'"3-7/'31 (jfj/mm/yyyy format6Property Tax Number:Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN | /*/ -| - \?)ol - \c"^ I - \/-^^->7Water Account Number:3 <te Letter xx-xx-xxx-xxxx-xxx format8Building Type:^ Condo r Townhouse r Co-op Apartment9Signature information on Next Page JL^iJit-,^ ^H.- (L-&$c^->-^<*--?<-SPlease print this and return application to your aldermanic office before July 1 HOME I AGENDAS I NEWS I COMMITTEE INFO I RESOURCES I CONTACT US I SITEMAP O 2008 Chicago Cty Couhei-Commltea on Flnanba. Al Rights Rwaivatf Um of this websfts stgrMas yogr agrearnant to lha Jjnia\aUfla\>^ Qoto£lhi^l£pJat>-. Site Devetopad by OieKKLWjBtLMJMaHMut1 Senior Citizens Annual Refund Application Note: *AII Fields Must B« Filled In Claimant Name First_ I 0 C(Lc-4/V Middle Initial Last Name Claimant Address Claimant City, State & Zip Code City_ State 1 Zip Code bop 13 Claimant Telephone Office_ Home Cellular r Claimant Birthdate: Must be 65 years of age, or older as of 3/11/2009 ....- dd/mm/yyyy format Property Tax Number: Water Account Number: Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN I. -J ".' " .T xx-xx-xxx-xi xxxx-xxx format Building Type: f<f^ondo) Townhouse Co-op Apartment Signature information on Next Page 0/--d-*- (J^f^J^t//^- Please print this and return application to your aldermanlc office before July 1 Senior Citizens Annual Refund Application Note: *A1I Fields Must Be Filled In1Claimant NameFirstMiddle Initial Ts.Last Name 1 Jo Vc £ Q(A\ (A M2 |
Claimant Address |
1 tJ^Zo A/.A)tf£ \ N* Orl- far */7-3_2 |
3 |
Claimant City, State ft Zip Code |
citv |
State |
Zip Code |
|
|
|
1Helen Urchenko Marianne Gaul Maryette Goebel 4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive Chicago, IL 60613 11-C #820 Chicago, IL 60613 Chicago, IL 60657 Marion Cardella 4250 N. Marine Dr. #1824 Chicago, II60613 Ofelia Castellanos 3950 N. Lake Shore #1408 B Chicago, IL 60613 Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B Chicago, IL 60613 Ronald Winer 720 W. Gordon Terr., 6-H Chicago, IL 60613 Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613 William Wax 3600 N Lake Shore Dr. #1106 Chicago, IL 60613 Lynn Preis 555 W. Cornelia #2011 Chicago, IL 60657 Jack Marrott 4300 N. Marine Dr. #303 CHICAGO, II 60613 Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613 Eva Levi 4300 N. Marine Dr. #902 CHICAGO, II60613 Mihai Smarandescu 3950 N Lake Shore Dr. #2012C Chicago, IL 60613 Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657 John Hurm 615 W.Addison #2 CHICAGO, II 60613 Barbara Ostert 3600 N. Lake Shore Drive 609 Chicago, IL 60613 JEAN CIZEK 3600 N. LAKE SHORE DRIVE #1922 CHICAGO, 1160613 Betty Hamilton 3900 North Lake Shore Drive Apt. 10C CHICAGO, IL60613 Carmelo Vasques 4250 N. Marine Drive #527 Chicago, IL 60613 Ayumu Miura 3600 N. Lake Shore Drive Chicago, IL 60613 MARIAN HORWITZ Marilyn Smull Barbara Olken 3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr. #718 #1921 #307 CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613 Robert Milaskey 3930 N. Pine Grove #2305 Chicago, IL 60613 Ursula Carnell 4170 North Marine Drive #7E CHICAGO, 1160613 Sandra Honaker 4170 N. Marine Dr. Apt. 14B Chicago, IL 60613 Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613 Irma Parker 4170 N. Marine Dr. #11J CHICAGO, 1160613 Irene Wojnarowski 3900 N Lake Shore Dr., 6E Apt. 6E Chicago, IL 60613 Hyrhan Orbach 4250 N. Marine Dr. #1516 Chicago, IL 60613 Margie Marcus 4170 N. Marine #9D Chicago, IL 60613 Judy Condylis 4250 N. Marine Dr. #915 Chicago, IL 60613 Bilya Cicekli Florence Brown Marian Dapin 4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr. Apt. 2305 #1628E CHICAGO, II 60657 Chicago, IL 60613 CHICAGO, II60613 Sylvia Levine 4170 N. Marine Drive #9J Chicago, IL 60613 Mary Clark 3740 N. Lake Shore Drive Chicago, IL 60640 Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613 Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657 Chris Rones 4334 N Clarendon #204 Chicago, IL 60613 Sylvia Liss 555 W Cornelia #912 Chicago, IL 60657 Edna Firse Michael Rosenberg Muriel Weinberg 4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr. #2523 Chicago, IL 60613 17E CHICAGO, II 60613 CHICAGO, II 60613 Sarah Najera 1460 W.Argyle CHICAGO, II 60640 William Winter 4170 N. Marine Dr. #14A CHICAGO, 1160613 Mildred Eisenstadt 4250 N Marine Dr. #301 Chicago, II60613 Richard Anders 3950 N. Lake Shore Drive #1030 Chicago, IL 60613 John Vargo 3550 North Lake Shore Drive #614 Chicago, IL 60657 Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL Ann Drake 3550 N. Lake Shore Dr. 2417 CHICAGO, II 60657 Dzemal Ikanovic 4848 N. Winthrop, #1314 Chicago, IL 60640 Rose Shure 3750 N. Lake Shore Dr. 16E CHICAGO, II 60657 Ruth Ross 3550 N. Lake Shore Dr. #2618 CHICAGO, II 60657 Magdalena Sanchez 3950 N. Lake Shore Drive 215-c Dorothy Troubb 4250 N. Marine Dr. #434 CHICAGO, 1160613 Rose Ross 3600 N. Lake Shore Drive #1011 Chicago, IL 60613 Betty Norman 4250 N Marine Dr. #1924 Chicago, IL 60613 Lawrence Kuhr 3600 N. Lake Shore Dr. #819 CHICAGO, 1160613 Marvin Benn 4170 N. Marine Drive Apt. 12K Chicago, IL 60613 Joyce Quimby 4250 N. Marine Dr. #1933 CHICAGO, 1160613 Regina Llorente 3950 N. Lake Shore Dr. 806B Chicago, IL 60613 John Boyle 4300 N. Marine Dr. #405 CHICAGO, 1160613 Richard Michalski 3950 N. Lake Shore #1206B Chicago, IL 60613 Janet Macdougall 3600 N. Lake Shore Dr. #1801 Chicago, IL 60613 Mits Yamashita 4343 N. Clarendon 1113 Chicago, IL 60613 Sidney Bulmash 4250 N. Marine Dr. #721 CHICAGO, 1160613 Leonard Miller 3900 N. Lake Shore Dr. #14J CHICAGO, II 60613 Remedios Ponce Vonda Urban Eleanor Dahl 3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr. #1806B CHICAGO, II60657 #1101 Chicago, IL 60613 Chicago, IL 60613 Anna Vulekas 3930 N Pine Grove #1116 Chicago, IL 60613 James O'Rourke 4170 N. Marine Dr. #21C Chicago, IL 60613 Mary Ann David 647 W. Buena 2E Chicago, IL 60613 Hedwig Parker 4250 N. Marine Dr. #2533 CHICAGO, 1160613 Jimmye Ross 700 W. Bittersweet Place #809 Chicago, IL 60613 Bertha Cousins 4008 N. Clarendon UnitB Chicago, IL 60613 Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J Chicago, IL 60613 Edith Hirsch 3600 N. Lake Shore Drive #1520 CHICAGO, 1160613 Enid Frandzel 3700 N. Lake Shore Drive, #310 Chicago, IL 60613 Nancy Hudson 3900 N. Lake Shore Dr Apt. 13A Chicago, IL 60613 Doris Wilterding 4170 N. Marine Dr. #15G Chicago, 1160613 Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613 Irene Goldfarb 3930 N. Pine Grove #1616 CHICAGO, 1160613 Mary Wagner 3950 N. Lake Shore Drive #718c Chicago, IL 60613 Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613 Dorthea Hely 3900 N.LAKE SHORE DR. #12C CHICAGO, II 60613 Phyllis Marks 4250 N. Marine #1435 Chicago, IL 60613 Nancy Kondo 3950 N. Lake Shore Dr. Chicago, IL 60613 Jo Joffe 656 W. Buena #2 Chicago, IL 60613 Archie Kirby 4170 N Marine Dr. #7F Chicago, IL 60613 Barbara Bengsten 3600 N. Lake Shore Dr. #2314 Chicago, IL 60613 Walter Kitt 3750 N. Lake Shore Dr. #10D CHICAGO, 1160613 Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613 Ann Willey 3950 North Lake Shore Drive #B2010 CHICAGO, II 60613 Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613 Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613 Cecilia Kangles 700 W. Bittersweet #306 Chicago, IL 60613 Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613 Theresa Eck 1458 W. Argyle CHICAGO, II60640 Merry Gorman 4200 N. Marine #801 Chicago, IL 60613 Daisy Driss 3550 N. Lake Shore Dr. CHICAGO, II 60657 Elsie Sichau 3600 N. Lake Shore Dr. #402 CHICAGO, 1160613 Elvira Semersky 4250 N. MARINE DR. #1401 CHICAGO, IL 60613 Barbara Chapman Eleanore Strunk Doris Endo 3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen Chicago, IL 60657 #1028 Chicago, IL 60640 CHICAGO, II 60657 Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d Chicago, IL 60613 Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613 W. Malone 3550 N. Lake Shore Dr. #1817 Chicago, IL 60657 John Hopkins 4170 N. Marine Dr. #18A CHICAGO, 1160613 Bernardine Trinen 3600 N. Lake Shore Dr. #2806 CHICAGO, 1160613 Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603 Chicago, IL 60657 Martine March 4250 N. Marine Drive 824 Chicago, IL 60613 Gertraud Eberson 3600 N. Lake Shore Dr. #308 CHICAGO, 1160613 Rita Ginenskaya 810 W. Grace #909 Chicago, 1160613 John Twardowski 810 W. Grace St. #2703 Chicago, IL 60613 Betty Cannon 3900 N. Lake Shore Dr. Apt. 16H Chicago, IL 60613 Frances Stokes 4250 N Marine Dr. #413 Chicago, IL 60613 Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657 Sondra Rosin 3950 N. Lake Shore Drive #2205 Chicago, IL 60613 Marvin Berns 4300 N. Marine Dr Apt. 602 Chicago, IL 60613 Lawrence Joseph 3950 N. Lake Shore Drive #1920D Chicago, IL 60613 Evelyn Russell 3600 N. Lake Shore Dr. #907 Chicago, IL 60613 Theresa Benoy 3550 N. Lake Shore Dr Apt. 821 Chicago, IL 60657 Frank Lukes 690 IRVING PARK RD. #D-3 CHICAGO, IL 60613 Vasil Truchly 4300 North Marine Drive #904 CHICAGO, 1160613 Emily Klusis 3550 N. Lake Shore Dr. #1822 Chicago, IL 60657 Priscilla Aguilar 4343 N. Clarendon #411 CHICAGO, IL 60613 Lois RETZLOFF 4343 N. Clarendon #2617 CHICAGO, 1160613 Alba Toro 4343 N. Clerendon 1213 Chicago, IL 60613 Sylvia Thall 3600 N Lake Shore Dr. #2305 Chicago, IL 60613 Rena Berke 3750 N Lake Shore Dr. #4G Chicago, IL 60613 Elaine Harris 3750 N Lake Shore Dr. #13H Chicago, IL 60613 Benne Whitlinger 4250 N. Marine Dr. #603 CHICAGO, II 60613 James L. Horn 3900 N. Lake Shore Dr. Apt. 17D Chicago, 1160613 Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657 Charlotte Seinfeld PARK RICHEY Natalie Saltiel 4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive #1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613 Beverly Ashford 672 W. Irving Park #G2 Chicago, IL 60613 Roy Granberg 3550 N. Lake Shore Dr. #417 CHICAGO, IL 60657 Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613 Donine Livingston 555 W.Cornelia 1004 Chicago, IL 60657 Anita Po 3600 N. Lake Shore Dr. Apt. 421 Chicago, IL 60613 Sonya Panos 3930 N. Pine Grove #603 Chicago, IL 60613 Margaret Coogan 3550 N.Lake Shore #603 Chicago, IL 60657 Renee Schwartz 4250 N. Marine Dr. #1922 CHICAGO, 1160613 Marcelle Pour 3750 N. Lake Shore Drive #5B Chicago, IL 60613 1 Rosemary Blume 4250 N. Marine #2604 CHICAGO, II 60613 Pearl Grau 4250 N. Marine Dr. #1309 CHICAGO, 1160613 Victoria Rosa 810 W. Grace #1708 Chicago, 1160613 Ruth Singer 3930 N. Pine Grove CHICAGO, 1160613 Claire Buckner 3550 N. Lake Shore Dr. CHICAGO, II 60657 Joyce Penner 4250 N Marine Dr. #1733N Chicago, IL 60613 Robert Comein 4170 North Marine Drive #7B Chicago, IL 60613 Mary Lambros 3600 N. Lake Shore Drive 1415 Chicago, IL 60613 Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613 LOUETTA IRWIN 3600 N. LAKE SHORE DRIVE #1501 CHICAGO, IL 60613 Sidney Kaz 555 W. Cornelia #1411 Chicago, IL 60657 llsa Weil 4250 N. Marine Dr. #430 CHICAGO, 1160613 Mary Smelser Mary Ludwig Leo Prath 3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr. Chicago, IL 60613 #12C Chicago, IL 60613 Chicago, 60613 Alice Fox 3950 N. Lake Shore Drive #1811 Chicago, Adrienne Singer 3900 N. Lake Shore Dr. #10J Chicago, IL 60613 Paula Mathieu 3550 N. Lake Shore Drive Chicago, IL 60657 Rhoda Kachalon 4200 N. Marine Drive 60613 Zilha Melkic 4848 N. Winthrop #407 Chicago, IL 60640 Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613 Ernest Casper 4250 N. Marine #2204 Chicago, IL Begona Uribe 3550 N. Lake Shore Drive #2224 Chicago, IL 60657 Esther Witek 4170 N. Marine Dr. #21M Chicago, IL 60613 Georgette Spertus 4250 N. Marine Dr. #1702 CHICAGO, IL 60613 Laurie Brewster 810W. Grace #2003 CHICAGO, 1160613 Isabel Carpio 3600 North Lake Shore Drive #201 CHICAGO, 1160613 Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613 Fred Heilizer 4170 N. Marine Dr. #12E CHICAGO, 1160613 Lois Mayer 3900 N. Lake Shore Drive #22J Chicago, IL 60613 Judi'th Corbeille 700 W. Bittersweet Apt. 408 Chicago, IL 60613 Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613 Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613 Helen Coleman 4250 N. Marine Dr. 1024 Chicago, IL 60613 Shirley Lynn 4250 N Marine Dr. #909 Chicago, IL 60613 Alberta Rotto 3600 N. Lake Shore Dr. #1320 CHICAGO, IL 60613 Lorraine Goldberg 4170 N. Marine Dr. #23E CHICAGO, II 60613 Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL Milagros Rivera 3600 N. LSD #1521 Chicago, IL 60613 Sofiya Zarkhina 810 W. Grace #608 Chicago, 1160613 Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657 Ida Lockett 555 W. Cornelia #1110 Chicago, IL 60657 Louis Calandra 4170 N Marine Dr 24E Chicago, IL 60613 Helene Herson 3600 N. LAKE SHORE DR. #1601 CHICAGO, II 60613 Bridget Semper 3930 N. Pine Grove Ave. #2001 Chicago, IL 60613 Ruth Swislow 3920 N. Lake Shore Drive Chicago, IL 60613 Louise Klis 3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613 Zola VanDeraa 4423 N Beacon Chicago, IL 60640 Elizabeth Ambo 555 W Cornelia #1008 Chicago, IL 60657 Michael Kirk 3950 N. Lake Shore Drive, #1500 Chicago, IL 60613 Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714 Chicago, IL 60613 Dorothy Chapman 4250 N. Marine Drive #309 Chicago, IL 60613 Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613 Don Karper 4170 N Marine Drive #22A Chicago, IL 60613 Costas Petros 3600 N Lake Shore Dr. #1201 Chicago, IL 60613 Elaine Manilow 3750 N. Lake Shore Drive 2c Chicago, IL 60613 Joseph Nieminski 536 W. Cornelia Apt. 1N Chicago, IL 60657 Claire Glasser 4250 N. Marine Dr. #1136 CHICAGO, II 60613 BARBARA HENNEY 3600 N. Lake Shore Dr. #1918 CHICAGO, 1160613 Larisa Bogach KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613 Lindsay Humpal Denise Benham Lenore Glanz 717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr. 719 W. Montrose Chicago, IL 60613 Apt. 405 Chicago, IL 60613 Chicago, IL 60657 Jessie Alford 4250 N Marine Dr. #607 Chicago, IL 60613 Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613 Ines Lopez 3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613 Jose Buergo 3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613 Marion Nathan 3900 N. Lake Shore Dr. Apt. 12A Chicago, IL 60613 Steven Spinuzza 4300 N. Marine Dr. #1704 CHICAGO, 1160613 Nancy Schmidt 4250 N. Marine Dr. #1021 CHICAGO, 1160613 Robert Leetch 617 W.Addison #1 Chicago, IL 60613 Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A Chicago, IL 60613 James Gaebe John Staller Tomas Bissonnette 3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon Chicago, IL 60613 Chicago, IL 60613 #1001,1002 Chicago, IL 60613 Lynn Welter 4707 N. Magnolia Apt. 1S Chicago, IL 60640 Carol Browning 555 W. Cornelia #710 Chicago, IL 60657 Franklin O'Leary 3600 N. Lake Shore Drive 605 Chicago, IL 60613 Mary Metag 3520 N. Lake Shore Dr. 4M CHICAGO, II Olga Stiefel 3600 N. Lake Shore Dr. #1420 CHICAGO, II60613 3/1 In City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1 Status:_ Reason:. 014*001*******5-DIGIT 60657 PREIS, LYNN W. 555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739 Claim Number: 1021375 Index Number: 1421305030 1209 Waief Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i Status:_ Reason: 014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904 Claim Number: 1017729 Index Number: 1421111007 1186 Water Account Number: 300530125360 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: HELEN SHILLER of Ward 46. 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. he undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 'lease Print Name Alderman Edward M. Burke Chairman City of Chicago February 18, 201 1 -111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 - 007*001 *******5-DIGIT 60613 BERKE, RENA 3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231 Index Number: 1421106017 0000 Water Account Number: 463285463285 3/V// Telephone 312-744-3380 For Official Use Only: Ward:_- Intro. Date:. Status:_ Reason:_ Claim Number: 1019904 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein. OWNER SIGNATURE/ f l/-Ji^L^ DATE t talsitication nerein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 in).?: i? ■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■ 014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728 Index Number: 1421305030 1142 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019340 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 OWNER SIGNATU Very Truly Yours, Edward M. Burke tand I am subject to ifiUjties for perjury of falsification herein. DATE ^1^1 \\ MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll Status:_ Reason:. 007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342 Claim Number: 1019258 Index Number: 1416304039 1216 " Water Account Number: 463400463400" 201 I SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-! Status:_ Reason:. 007*001*******5-DIGIT 60613 HORN, JAMES L 3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455 Claim Number: 1022730 Index Number: 1421101035 1088 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. . I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATJ Very Truly Yours, ill ft( Alderman Edward M. Burke Chairman February 18, 201 City of Chicago Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1000835 1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111 007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339 Index Number: 1416304039 1161 Water Account Number: 300530331440 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. e undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. DATE 30// OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11 Status:_ Reason: 007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715 Claim Number: 1019541 Index Number: 1416301041 1824 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill Status:_ Reason:. 007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644 Claim Number: 1019907 Index Number: 1421110020 1232 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ilhrllillhl",V"h1MThl,liilIHMllHllHllllil Status:_ Reason:. 007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758 Claim Number: 1003502 Index Number: 1416301041 1844 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Cliairman February 18, 201 City of Chicago i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m - 007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019038 Index Number: 1421101034 1148 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/lownhouse 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 I, 2011. _the undersigned, on oath, Please Prim Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 1)1114411 II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!, 007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1005248 Index Number: 1416301041 1777 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/ Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago 111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11 007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003134 Index Number: 1416304039 1093 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Btirke Cliairman February 18, 201 City of Chicago 11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11 014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805 Index Number: 1421112012 1048 Water Account Number: 300530125209 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1016368 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name ( / l _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do hot 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 Teleplione February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11 Status:_ Reason:. 015*001 *******5-DIGIT 60657 URIBE, BEGONA 3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869 Claim Number: 1017731 Index Number: 1421111007 1581 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE w1 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111! Status:_ Reason:. 007*001*******5-DIGIT 60613 LOPEZ, INES 3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446 Claim Number: 1003170 Index Number: 1421101034 1559 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. I_\ KJ S LO ^ *Z_tne undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll Status:_ Reason:. 007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102 Claim Number: 1022399 Index Number: 1421101034 1390 Water Account Number: 590406463257 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath. Please Print Name OWNER SIGNATURE. DATE. 3 */" City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill Status:_ Reason:. 015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807 Claim Number: 1018173 Index Number: 1421 111007 1059 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Chairman City of Chicago 7. Telephone 312-744-3380 February 18, 2011 |.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I, 015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019347 Index Number: 1421111007 1463 Waler Account Number: 462479462479 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*// Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS -^^0228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone in February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1 Status:_ Reason:. 021*015******MIXED AADC 606 LUKES, FRANK J. 509 SHIP ST # 206 SAINT JOSEPH, MI 49085-1118 Claim Number: 1015971 Index Number: 1416305021 1023 Water Account Number: 300129024908 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 -11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 > 007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414 Index Number: 1421101034 1378 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_1 Intro. Date:. Status:_ Reason:_ Claim Number: 1018233 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name undersigned, on oath. depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein. OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111 007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552 llll-h-1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018214 Index Number: 1417407053 1014 Water Account Number: 300530313327~ '■ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. , Off-m-r <= Raver Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein. OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?/// Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 3|1 Telephone 312-744-3380 February 18,2011 'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll 012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011019 Index Number: 1417123021 1004 Water Account Number: 300530501506 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein. 'tt&JL OWNER SIGNATURE Very Truly Yours, ATE fr-SL-SL -&d I ( Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'" Status:_ Reason:. 007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744 Claim Number: 1000036 Index Number: 1416301041 1336 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer 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. I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago A Telephone 312-744-3380 February 18, 2011 -V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11- 007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020156 Index Number: 1421101034 1014 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ie 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. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ -11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1 Status:_ Reason:. 007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721 Claim Number: 1019286 Index Number: 1416301041 1217 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:__ r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin ii Status:_ Reason: 007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726 Claim Number: 1019675 Index Number: 1416301041 1332 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE . ? - / - // Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756 Status:_ Reason:. Claim Number: 1018951 Index Number: 1416301041 1820 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name Very Truly Yours, / Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602 Claim Number: 1009026 Index Number: 1421110020 1001 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. been paid and that I understand Alderman Edward M. Burke Chainnan City of Chicago Telephone 312-744-3380 February 18, 2011 |T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l 007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019690 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ Status:_ Reason:. 015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839 Claim Number: 1019290 Index Number: 1421111007 1077 Water Account Number: 462478462478 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein. OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE. Very Truly Yours, ' Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 '^fSNfr 228 City of Chicago 5/1 l\ Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M Status:_ Reason:. 007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333 Claim Number: 1003442 Index Number: 1416304039 1121 Water-Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 UJ I I'd. u)t»jT<=,C the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 =^8^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i Status:_ Reason:. 007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463 Claim Number: 1018220 Index Number: 1421101035 1101 Water Account Number: 300129027105' 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS undersigned, on oath, Please Print Name ^^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli Status:_ Reason:. 007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340 Claim Number: 1005211 Index Number: 1416301039 1169 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii Status:_ Reason:. 007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672 Claim Number: 1022394 Index Number: 1421110020 1293 Waler Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath. OWNER SIGNATURl City of Chicago (I Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ -i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III Status:_ Reason:. 007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231 Claim Number: 1019693 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 lAA- Alderman Edward M. Burke Chairman City of Chicago Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll Status:_ Reason:. 007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744 Claim Number: 1003434 Index Number: 1416301041 1089 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Commiltee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ,1m - i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H- 014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725 "'1J111111" 11" 11"1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1003973 Index Number: 1421305030 1085 Water Account Number: 300530117758 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111 Status:_ Reason:. 007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335 Claim Number: 1021102 Index Number: 1416304039 1224 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATURi City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll Status:_ Reason:. 007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331 Claim Number: 1019576 Index Number: 1416304039 1042 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011. I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1 Status:_ Reason:. 007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244 Claim Number: 1020246 Index Number: 1421106032 1047 Water Account Number: 462493462493 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: HELEN SHILLER of Ward 46. To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11 Status:_ Reason:. 007*001*******5-DIGIT 60613 WEIL, ILSA 4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761 Claim Number: 1002866 Index Number: 1416301041 1675 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630 Claim Number: 1003488 Index Number: 1421 110020 1507 Water Account Number: 462491462491 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640 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. ■^a?*228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: O'LEARY, FRANKLIN A. 3600 N LAKE SHORE DR APT 605 CHICAGO, IL 60613-4638 Claim Number: 1017975 Index Number: 1421110020 1093 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS $ . O L f* ft. /the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago \h111 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019998 February 18, 2011 -11-11111' 11 -11 -1 -11.......i|, |-,|| 007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244 Index Number: 1421106032 1027 Waler Accounl Number: 462493462493 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein. OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l|| 007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614 Index Number: 1421110020 1024 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1010895 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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. \( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I 0 : Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111 Status:_ Reason:. 007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762 Claim Number: 1004440 Index Number: 1416301041 1595 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oalh, 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 («inns -11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1 007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515 Index Number: 1416300029 1002 Water Account Number: 121061843801 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018804 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. Please Print Name the undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein. OWNER SIG Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:._ Intro. Date:_ |||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II, Status:_ Reason:. 007*001 *******5-DIGIT 60613 STALLER, JOHN 3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440 Claim Number: 1018246 Index Number: 1421 101034 1618 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,. Status:_ Reason:. 007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445 Claim Number: 1015334 Index Number: 1421101034 1645 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 llilllllllTlll|-ll-|lllllTlhllllll- 012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783 1|||ll.l|1,|.l||ll For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1023207 Index Number: 1417105023 1004 Water Account Number: 65/ /12592473 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. , LHfjJ K. U/gCf&iC^ undersigned on oath> Please Print Name depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS ^g^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil Status:_ Reason:. 007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903 Claim Number: 1018954 Index Number: 1420214018 0000 Water Account Number: 466394466094 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-" ii Status:_ Reason:. 007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754 Claim Number: 1002732 Index Number: 1416301041 1661 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^MS\^Hfc QMlft frj^flur^ersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201J For Official Use Only: Ward:_- Intro. Date:_ "■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili Status:_ Reason:. 007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302 Claim Number: 1005171 Index Number: 1416304039 1034 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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) ■*SSI*>228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone 1)0147(1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11 Status:_ Reason:. 007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304 Claim Number: 1019314 Index Number: 1416304039 1064 Waler Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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. Edward M. Burke / f3> . MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 fDARdfg' L, ff)pr^(mS the undersigned, on oath, Please Print Name Very Truly Yours, Alderman Edward M. Burke Cliaimian City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I Status:_ Reason:. 007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721 Claim Number: 1018776 Index Number: 1416301041 1163 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_■ Intro. Date:_ iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill Status:_ Reason: 014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728 Claim Number: 1020657 Index Number: 1421305030 1181 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!! Status:_ Reason:. 007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761 Claim Number: 1003031 Index Number: 1416301041 1783 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS »o»gSJ«,228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i Status:_ Reason:. 007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721 Claim Number: 1016194 Index Number: 1416301041 1001 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE 2_ - 2--* - ZW/ City of Chicago Alderman Edward M. Burke Chairman Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405 Claim Number: 1022054 Index Number: 1421101034 1138 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^ 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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl Status:_ Reason:. 007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701 Claim Number: 1018661 Index Number: 1416303035 1139 Water Account Number: 300530319127 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNAT Alderman Edward M. Burke Chairman February 18,2011 City of Chicago Telephone 312-744-3380 HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 - 007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448 Index Number: 1421101035 1201 Water Account Number: 463253463253 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019313 Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. 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. Jhe undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE :<^Ldate ^eA^uu^ 32y <26/r/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Teleplione 3L2-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017134 February 18, 2011 in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■ 007*001 *******5-DIGIT 60613 RICHEY, PARK E. 3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678 Index Number: 1421110020 1563 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011. jhe undersigned, on oath, Please Print Name depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein. wAlU- KajJ^j date Z'ZX-)I_ OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 5/1 hi Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111! Status:_ Reason:. 014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907 Claim Number: 1015826 Index Number: 1421111007 1393 Water Account Number: 300530125377 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m Status:_ Reason:. 007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457 Claim Number: 1005302 Index Number: 1421101035 1194 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.|| ■ i Status:_ Reason:. 007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748 Claim Number: 1020067 Index Number: 1416301041 1529 Water Account Number: 430751430751 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS OWNER SIGNATU Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i Status:_ Reason: 014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904 Claim Number: 1019674 Index Number: 1421111007 1213 Water Account Number: 462480462480 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,! Status:, Reason 007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484 Claim Number: 1017073 Index Number: 1421101034 1607 Water Account Number 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. _the undersigned, on oath, depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^**-^- bn^y DATE fop 34- 3eH City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722 Claim Number: 1019816 Index Number: 1416301041 1326 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_' Intro. Date:_ 111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1 Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453 Claim Number: 1022727 Index Number: 1421101035 1012 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name .the undersigned, on oath, Alderman Edward M. Burke Chairman City of Chicago 4 Telephone 312-744-3380 February 18, 2011 Miiilliillliuli"lIMIIiiliiili1'..... 014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944 For Official Use Only: Ward: _ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003440 Index Number: 1421111007 1084 Water Account Number: 300530125377 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ■ Da A- Dn s ,£_the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I 0 Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS n Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephotie February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111 Status:_ Reason:. 007*001 *******5-DIGIT 60613 CLARK. MARY 3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216 Claim Number: 1005187 Index Number: 1421 106030 1050 Water Account Number: 300530230002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111 Status:_ Reason:. 014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733 Claim Number: 1020802 Index Number: 1421305030 1231 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS DATE. 228 3/, Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance Telephone 312-744-3380 February 18, 2011 iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11 007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021570 Index Number: 1416301041 1101 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ' OWNER SIGNATURE Very Truly Yours, Edward M. Burke perjury of falsification herein. DATE 3-/- JO// MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS etifS^.228 Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 20 ll For Official Use Only: Ward:_ Intro. Date:_ ||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644 Claim Number: 1019934 Index Nu mber: 1421110020 1213 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh, depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll|| Status:_ Reason: 007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502 Claim Number: 1003004 Index Number: 1416300027 1032 Water Account Number: 300530323706 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011. undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE. Alderman Edward M. Burke Chairman City of Chicago February 18, 2011 T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 - 007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473 Index Number: 1421101034 1437 Water Account Number: 463256463256 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1022485 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial pivi.Last Name Afe /«. n 2Claimant Address'-r'x'SD /V. marine. Pr- idx1-/3Claimant City, State & Zip CodeCitvStateZip Code 1 C /| / C <3- ^Claimant TelephoneOfficeHome :Cellular4 1 773'5Claimant Birthdate:Must be 65 years of age, or older as of 3/11/2009 11</'"3-7/'31 (jfj/mm/yyyy format6Property Tax Number:Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN | /*/ -| - \?)ol - \c"^ I - \/-^^->7Water Account Number:3 <te Letter xx-xx-xxx-xxxx-xxx format8Building Type:^ Condo r Townhouse r Co-op Apartment9Signature information on Next Page JL^iJit-,^ ^H.- (L-&$c^->-^<*--?<-SPlease print this and return application to your aldermanic office before July 1 HOME I AGENDAS I NEWS I COMMITTEE INFO I RESOURCES I CONTACT US I SITEMAP O 2008 Chicago Cty Couhei-Commltea on Flnanba. Al Rights Rwaivatf Um of this websfts stgrMas yogr agrearnant to lha Jjnia\aUfla\>^ Qoto£lhi^l£pJat>-. Site Devetopad by OieKKLWjBtLMJMaHMut1 Senior Citizens Annual Refund Application Note: *AII Fields Must B« Filled In Claimant Name First_ I 0 C(Lc-4/V Middle Initial Last Name Claimant Address Claimant City, State & Zip Code City_ State 1 Zip Code bop 13 Claimant Telephone Office_ Home Cellular r Claimant Birthdate: Must be 65 years of age, or older as of 3/11/2009 ....- dd/mm/yyyy format Property Tax Number: Water Account Number: Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN I. -J ".' " .T xx-xx-xxx-xi xxxx-xxx format Building Type: f<f^ondo) Townhouse Co-op Apartment Signature information on Next Page 0/--d-*- (J^f^J^t//^- Please print this and return application to your aldermanlc office before July 1 Senior Citizens Annual Refund Application Note: *A1I Fields Must Be Filled In1Claimant NameFirstMiddle Initial Ts.Last Name 1 Jo Vc £ Q(A\ (A M2Claimant Address1 tJ^Zo A/.A)tf£ \ N* Orl- far */7-3_23Claimant City, State ft Zip CodecitvStateZip Code 4 |
Claimant Telephone |
Office |
Home |
Cellular |
|
|
|
1Helen Urchenko Marianne Gaul Maryette Goebel 4170 N. Marine Dr. #20F 3900 N. Lake Shore Drive 3550 N. Lake Shore Drive Chicago, IL 60613 11-C #820 Chicago, IL 60613 Chicago, IL 60657 Marion Cardella 4250 N. Marine Dr. #1824 Chicago, II60613 Ofelia Castellanos 3950 N. Lake Shore #1408 B Chicago, IL 60613 Shirley Poulakidas 3900 N. Lake Shore Dr. Apt. 10B Chicago, IL 60613 Ronald Winer 720 W. Gordon Terr., 6-H Chicago, IL 60613 Alfreda Mendelsohn 3600 N Lake Shore Dr. Apt. 1324 Chicago, IL 60613 William Wax 3600 N Lake Shore Dr. #1106 Chicago, IL 60613 Lynn Preis 555 W. Cornelia #2011 Chicago, IL 60657 Jack Marrott 4300 N. Marine Dr. #303 CHICAGO, II 60613 Selma Friedland 3750 N Lake Shore Dr. Chicago, IL 60613 Eva Levi 4300 N. Marine Dr. #902 CHICAGO, II60613 Mihai Smarandescu 3950 N Lake Shore Dr. #2012C Chicago, IL 60613 Christine Richert 555 W. Cornelia Apt. 1708 Chicago, IL 60657 John Hurm 615 W.Addison #2 CHICAGO, II 60613 Barbara Ostert 3600 N. Lake Shore Drive 609 Chicago, IL 60613 JEAN CIZEK 3600 N. LAKE SHORE DRIVE #1922 CHICAGO, 1160613 Betty Hamilton 3900 North Lake Shore Drive Apt. 10C CHICAGO, IL60613 Carmelo Vasques 4250 N. Marine Drive #527 Chicago, IL 60613 Ayumu Miura 3600 N. Lake Shore Drive Chicago, IL 60613 MARIAN HORWITZ Marilyn Smull Barbara Olken 3600 N. LAKE SHORE DR. 3600 N. Lake Shore Dr. 4250 N. Marine Dr. #718 #1921 #307 CHICAGO, IL 60613 Chicago, IL 60613 Chicago, IL 60613 Robert Milaskey 3930 N. Pine Grove #2305 Chicago, IL 60613 Ursula Carnell 4170 North Marine Drive #7E CHICAGO, 1160613 Sandra Honaker 4170 N. Marine Dr. Apt. 14B Chicago, IL 60613 Plutarco DeGuzman 4201 N. Sheridan Road Chicago, IL 60613 Irma Parker 4170 N. Marine Dr. #11J CHICAGO, 1160613 Irene Wojnarowski 3900 N Lake Shore Dr., 6E Apt. 6E Chicago, IL 60613 Hyrhan Orbach 4250 N. Marine Dr. #1516 Chicago, IL 60613 Margie Marcus 4170 N. Marine #9D Chicago, IL 60613 Judy Condylis 4250 N. Marine Dr. #915 Chicago, IL 60613 Bilya Cicekli Florence Brown Marian Dapin 4250 N. Marine 3950 N. Lake Shore Dr. 3550 N. Lake Shore Dr. Apt. 2305 #1628E CHICAGO, II 60657 Chicago, IL 60613 CHICAGO, II60613 Sylvia Levine 4170 N. Marine Drive #9J Chicago, IL 60613 Mary Clark 3740 N. Lake Shore Drive Chicago, IL 60640 Berta Guzevich 810 W. Grace #2103 Chicago, IL 60613 Doris Lichterman 555 W. Cornelia #1005 Chicago, IL 60657 Chris Rones 4334 N Clarendon #204 Chicago, IL 60613 Sylvia Liss 555 W Cornelia #912 Chicago, IL 60657 Edna Firse Michael Rosenberg Muriel Weinberg 4250 N. Marine Dr. 3726 N Lake Shore Dr. #3 4170 N. Marine Dr. #2523 Chicago, IL 60613 17E CHICAGO, II 60613 CHICAGO, II 60613 Sarah Najera 1460 W.Argyle CHICAGO, II 60640 William Winter 4170 N. Marine Dr. #14A CHICAGO, 1160613 Mildred Eisenstadt 4250 N Marine Dr. #301 Chicago, II60613 Richard Anders 3950 N. Lake Shore Drive #1030 Chicago, IL 60613 John Vargo 3550 North Lake Shore Drive #614 Chicago, IL 60657 Breda Beilfuss 4250 N. Marine Drive Apt. 1835 Chicago, IL Ann Drake 3550 N. Lake Shore Dr. 2417 CHICAGO, II 60657 Dzemal Ikanovic 4848 N. Winthrop, #1314 Chicago, IL 60640 Rose Shure 3750 N. Lake Shore Dr. 16E CHICAGO, II 60657 Ruth Ross 3550 N. Lake Shore Dr. #2618 CHICAGO, II 60657 Magdalena Sanchez 3950 N. Lake Shore Drive 215-c Dorothy Troubb 4250 N. Marine Dr. #434 CHICAGO, 1160613 Rose Ross 3600 N. Lake Shore Drive #1011 Chicago, IL 60613 Betty Norman 4250 N Marine Dr. #1924 Chicago, IL 60613 Lawrence Kuhr 3600 N. Lake Shore Dr. #819 CHICAGO, 1160613 Marvin Benn 4170 N. Marine Drive Apt. 12K Chicago, IL 60613 Joyce Quimby 4250 N. Marine Dr. #1933 CHICAGO, 1160613 Regina Llorente 3950 N. Lake Shore Dr. 806B Chicago, IL 60613 John Boyle 4300 N. Marine Dr. #405 CHICAGO, 1160613 Richard Michalski 3950 N. Lake Shore #1206B Chicago, IL 60613 Janet Macdougall 3600 N. Lake Shore Dr. #1801 Chicago, IL 60613 Mits Yamashita 4343 N. Clarendon 1113 Chicago, IL 60613 Sidney Bulmash 4250 N. Marine Dr. #721 CHICAGO, 1160613 Leonard Miller 3900 N. Lake Shore Dr. #14J CHICAGO, II 60613 Remedios Ponce Vonda Urban Eleanor Dahl 3950 N. Lake Shore Drive 3556 N. Pine Grove 4250 N. Marine Dr. #1806B CHICAGO, II60657 #1101 Chicago, IL 60613 Chicago, IL 60613 Anna Vulekas 3930 N Pine Grove #1116 Chicago, IL 60613 James O'Rourke 4170 N. Marine Dr. #21C Chicago, IL 60613 Mary Ann David 647 W. Buena 2E Chicago, IL 60613 Hedwig Parker 4250 N. Marine Dr. #2533 CHICAGO, 1160613 Jimmye Ross 700 W. Bittersweet Place #809 Chicago, IL 60613 Bertha Cousins 4008 N. Clarendon UnitB Chicago, IL 60613 Gladys Marchand 3900 N. Lake Shore Dr Apt. 3J Chicago, IL 60613 Edith Hirsch 3600 N. Lake Shore Drive #1520 CHICAGO, 1160613 Enid Frandzel 3700 N. Lake Shore Drive, #310 Chicago, IL 60613 Nancy Hudson 3900 N. Lake Shore Dr Apt. 13A Chicago, IL 60613 Doris Wilterding 4170 N. Marine Dr. #15G Chicago, 1160613 Krystyna Szaranski 4250 N. Marine Dr. Apt. 1729 Chicago, IL 60613 Irene Goldfarb 3930 N. Pine Grove #1616 CHICAGO, 1160613 Mary Wagner 3950 N. Lake Shore Drive #718c Chicago, IL 60613 Valery Khokhlov 810 W Grace, #2101 Chicago, IL60613 Dorthea Hely 3900 N.LAKE SHORE DR. #12C CHICAGO, II 60613 Phyllis Marks 4250 N. Marine #1435 Chicago, IL 60613 Nancy Kondo 3950 N. Lake Shore Dr. Chicago, IL 60613 Jo Joffe 656 W. Buena #2 Chicago, IL 60613 Archie Kirby 4170 N Marine Dr. #7F Chicago, IL 60613 Barbara Bengsten 3600 N. Lake Shore Dr. #2314 Chicago, IL 60613 Walter Kitt 3750 N. Lake Shore Dr. #10D CHICAGO, 1160613 Marlene Moleski 707-09 W. Montrose, 1W Chicago, IL 60613 Ann Willey 3950 North Lake Shore Drive #B2010 CHICAGO, II 60613 Jennetha Lewis 810 W. Grace #603 Chicago, IL 60613 Ruth Schwartz 4250 N. Marine Dr. CHICAGO, 1160613 Cecilia Kangles 700 W. Bittersweet #306 Chicago, IL 60613 Patricia Casey 4300 N. Marine Dr Apt. 1406 Chicago, IL 60613 Theresa Eck 1458 W. Argyle CHICAGO, II60640 Merry Gorman 4200 N. Marine #801 Chicago, IL 60613 Daisy Driss 3550 N. Lake Shore Dr. CHICAGO, II 60657 Elsie Sichau 3600 N. Lake Shore Dr. #402 CHICAGO, 1160613 Elvira Semersky 4250 N. MARINE DR. #1401 CHICAGO, IL 60613 Barbara Chapman Eleanore Strunk Doris Endo 3550 N Lake Shore Dr. #919 3550 N. Lake Shore Dr. 1441 W Carmen Chicago, IL 60657 #1028 Chicago, IL 60640 CHICAGO, II 60657 Joseph-Laroche Ninette 3950 N. Lake Shore Dr. 2220d Chicago, IL 60613 Alice Blinder 4170 N. Marine Dr. CHICAGO, II 60613 W. Malone 3550 N. Lake Shore Dr. #1817 Chicago, IL 60657 John Hopkins 4170 N. Marine Dr. #18A CHICAGO, 1160613 Bernardine Trinen 3600 N. Lake Shore Dr. #2806 CHICAGO, 1160613 Kathleen O'Sullivan 3550 N. Lake Shore Dr. #1603 Chicago, IL 60657 Martine March 4250 N. Marine Drive 824 Chicago, IL 60613 Gertraud Eberson 3600 N. Lake Shore Dr. #308 CHICAGO, 1160613 Rita Ginenskaya 810 W. Grace #909 Chicago, 1160613 John Twardowski 810 W. Grace St. #2703 Chicago, IL 60613 Betty Cannon 3900 N. Lake Shore Dr. Apt. 16H Chicago, IL 60613 Frances Stokes 4250 N Marine Dr. #413 Chicago, IL 60613 Charlotte Newfeld 3520 N. Pine Grove Chicago, IL 60657 Sondra Rosin 3950 N. Lake Shore Drive #2205 Chicago, IL 60613 Marvin Berns 4300 N. Marine Dr Apt. 602 Chicago, IL 60613 Lawrence Joseph 3950 N. Lake Shore Drive #1920D Chicago, IL 60613 Evelyn Russell 3600 N. Lake Shore Dr. #907 Chicago, IL 60613 Theresa Benoy 3550 N. Lake Shore Dr Apt. 821 Chicago, IL 60657 Frank Lukes 690 IRVING PARK RD. #D-3 CHICAGO, IL 60613 Vasil Truchly 4300 North Marine Drive #904 CHICAGO, 1160613 Emily Klusis 3550 N. Lake Shore Dr. #1822 Chicago, IL 60657 Priscilla Aguilar 4343 N. Clarendon #411 CHICAGO, IL 60613 Lois RETZLOFF 4343 N. Clarendon #2617 CHICAGO, 1160613 Alba Toro 4343 N. Clerendon 1213 Chicago, IL 60613 Sylvia Thall 3600 N Lake Shore Dr. #2305 Chicago, IL 60613 Rena Berke 3750 N Lake Shore Dr. #4G Chicago, IL 60613 Elaine Harris 3750 N Lake Shore Dr. #13H Chicago, IL 60613 Benne Whitlinger 4250 N. Marine Dr. #603 CHICAGO, II 60613 James L. Horn 3900 N. Lake Shore Dr. Apt. 17D Chicago, 1160613 Margaret Levinson 3550 N. Lake Shore Dr. CHICAGO, II 60657 Charlotte Seinfeld PARK RICHEY Natalie Saltiel 4250 N. Marine Dr. 3600 N. Lake Shore Dr. #2522 4250 North Marine Drive #1029 CHICAGO, II60613 CHICAGO, II60613 CHICAGO, 1160613 Beverly Ashford 672 W. Irving Park #G2 Chicago, IL 60613 Roy Granberg 3550 N. Lake Shore Dr. #417 CHICAGO, IL 60657 Jose Fernandez 3950 N. Lake Shore Drive Apt. 1918 Chicago, IL 60613 Donine Livingston 555 W.Cornelia 1004 Chicago, IL 60657 Anita Po 3600 N. Lake Shore Dr. Apt. 421 Chicago, IL 60613 Sonya Panos 3930 N. Pine Grove #603 Chicago, IL 60613 Margaret Coogan 3550 N.Lake Shore #603 Chicago, IL 60657 Renee Schwartz 4250 N. Marine Dr. #1922 CHICAGO, 1160613 Marcelle Pour 3750 N. Lake Shore Drive #5B Chicago, IL 60613 1 Rosemary Blume 4250 N. Marine #2604 CHICAGO, II 60613 Pearl Grau 4250 N. Marine Dr. #1309 CHICAGO, 1160613 Victoria Rosa 810 W. Grace #1708 Chicago, 1160613 Ruth Singer 3930 N. Pine Grove CHICAGO, 1160613 Claire Buckner 3550 N. Lake Shore Dr. CHICAGO, II 60657 Joyce Penner 4250 N Marine Dr. #1733N Chicago, IL 60613 Robert Comein 4170 North Marine Drive #7B Chicago, IL 60613 Mary Lambros 3600 N. Lake Shore Drive 1415 Chicago, IL 60613 Charlotte Bader 3950 N. Lake Shore Dr. Apt. 1218C Chicago, IL 60613 LOUETTA IRWIN 3600 N. LAKE SHORE DRIVE #1501 CHICAGO, IL 60613 Sidney Kaz 555 W. Cornelia #1411 Chicago, IL 60657 llsa Weil 4250 N. Marine Dr. #430 CHICAGO, 1160613 Mary Smelser Mary Ludwig Leo Prath 3750 N Lake Shore Dr. #12H 4170 Marine Drive 4250 N Marine Dr. Chicago, IL 60613 #12C Chicago, IL 60613 Chicago, 60613 Alice Fox 3950 N. Lake Shore Drive #1811 Chicago, Adrienne Singer 3900 N. Lake Shore Dr. #10J Chicago, IL 60613 Paula Mathieu 3550 N. Lake Shore Drive Chicago, IL 60657 Rhoda Kachalon 4200 N. Marine Drive 60613 Zilha Melkic 4848 N. Winthrop #407 Chicago, IL 60640 Maureen McGlone 4170 N. Marine Dr. #6K Chicago, IL 60613 Ernest Casper 4250 N. Marine #2204 Chicago, IL Begona Uribe 3550 N. Lake Shore Drive #2224 Chicago, IL 60657 Esther Witek 4170 N. Marine Dr. #21M Chicago, IL 60613 Georgette Spertus 4250 N. Marine Dr. #1702 CHICAGO, IL 60613 Laurie Brewster 810W. Grace #2003 CHICAGO, 1160613 Isabel Carpio 3600 North Lake Shore Drive #201 CHICAGO, 1160613 Audrey Book 4170 N. Marine Dr. CHICAGO, 1160613 Fred Heilizer 4170 N. Marine Dr. #12E CHICAGO, 1160613 Lois Mayer 3900 N. Lake Shore Drive #22J Chicago, IL 60613 Judi'th Corbeille 700 W. Bittersweet Apt. 408 Chicago, IL 60613 Ida Petcher 4250 N. Marine Dr. CHICAGO, 1160613 Maxine Lichterman 4170 N. Marine Drive 22H Chicago, IL 60613 Helen Coleman 4250 N. Marine Dr. 1024 Chicago, IL 60613 Shirley Lynn 4250 N Marine Dr. #909 Chicago, IL 60613 Alberta Rotto 3600 N. Lake Shore Dr. #1320 CHICAGO, IL 60613 Lorraine Goldberg 4170 N. Marine Dr. #23E CHICAGO, II 60613 Gerhard Goesmann 4343 N. Clarendon #1611 Chicago, IL Milagros Rivera 3600 N. LSD #1521 Chicago, IL 60613 Sofiya Zarkhina 810 W. Grace #608 Chicago, 1160613 Adrienne Goldstone 555 W Cornelia #1703 Chicago, IL 60657 Ida Lockett 555 W. Cornelia #1110 Chicago, IL 60657 Louis Calandra 4170 N Marine Dr 24E Chicago, IL 60613 Helene Herson 3600 N. LAKE SHORE DR. #1601 CHICAGO, II 60613 Bridget Semper 3930 N. Pine Grove Ave. #2001 Chicago, IL 60613 Ruth Swislow 3920 N. Lake Shore Drive Chicago, IL 60613 Louise Klis 3600 N. Lake Shore Dr., Unit 1218 Chicago, IL 60613 Zola VanDeraa 4423 N Beacon Chicago, IL 60640 Elizabeth Ambo 555 W Cornelia #1008 Chicago, IL 60657 Michael Kirk 3950 N. Lake Shore Drive, #1500 Chicago, IL 60613 Wayne Gibson Jr. 3600 N. Lake Shore Dr. #2714 Chicago, IL 60613 Dorothy Chapman 4250 N. Marine Drive #309 Chicago, IL 60613 Lindsey Humpal 717 W. Montrose #3 Chicago, IL 60613 Don Karper 4170 N Marine Drive #22A Chicago, IL 60613 Costas Petros 3600 N Lake Shore Dr. #1201 Chicago, IL 60613 Elaine Manilow 3750 N. Lake Shore Drive 2c Chicago, IL 60613 Joseph Nieminski 536 W. Cornelia Apt. 1N Chicago, IL 60657 Claire Glasser 4250 N. Marine Dr. #1136 CHICAGO, II 60613 BARBARA HENNEY 3600 N. Lake Shore Dr. #1918 CHICAGO, 1160613 Larisa Bogach KOenic & Strey GMAC Home Services 3750 N.Lake Shore Dr., 1C Chicago, IL 60613 Lindsay Humpal Denise Benham Lenore Glanz 717-719 W. Montrose Condo Association 4250 N Marine Dr. #1013 3550 N Lake Shore Dr. 719 W. Montrose Chicago, IL 60613 Apt. 405 Chicago, IL 60613 Chicago, IL 60657 Jessie Alford 4250 N Marine Dr. #607 Chicago, IL 60613 Rosabel Seigan 4170 N. Marine Dr. CHICAGO, II 60613 Ines Lopez 3950 N. Lake Shore Drive Apt. 1226-E Chicago, IL 60613 Jose Buergo 3950 N. Lake Shore Drive Apt. 2002 Chicago, IL 60613 Marion Nathan 3900 N. Lake Shore Dr. Apt. 12A Chicago, IL 60613 Steven Spinuzza 4300 N. Marine Dr. #1704 CHICAGO, 1160613 Nancy Schmidt 4250 N. Marine Dr. #1021 CHICAGO, 1160613 Robert Leetch 617 W.Addison #1 Chicago, IL 60613 Mark Lundgren President of Condo Assoc 3900 N. Lake Shore Dr. #21-A 21-A Chicago, IL 60613 James Gaebe John Staller Tomas Bissonnette 3700 N Lake Shore Dr. #302 3950 N. Lake Shore Dr., 529E 4343 N. Clarendon Chicago, IL 60613 Chicago, IL 60613 #1001,1002 Chicago, IL 60613 Lynn Welter 4707 N. Magnolia Apt. 1S Chicago, IL 60640 Carol Browning 555 W. Cornelia #710 Chicago, IL 60657 Franklin O'Leary 3600 N. Lake Shore Drive 605 Chicago, IL 60613 Mary Metag 3520 N. Lake Shore Dr. 4M CHICAGO, II Olga Stiefel 3600 N. Lake Shore Dr. #1420 CHICAGO, II60613 3/1 In City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h 11111111 -11 - - -11111 - r11 - -111111 i 1 -1111 j 1 -1 - -1 -1 m - h 11111111 -1 Status:_ Reason:. 014*001*******5-DIGIT 60657 PREIS, LYNN W. 555 W CORNELIA AVE APT 2011 CHICAGO, IL 60657-2739 Claim Number: 1021375 Index Number: 1421305030 1209 Waief Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ii||,.|||,lri,r|...ii|ii|,|||ri|i|.ni|ni|i|i|n|i||,i Status:_ Reason: 014*001*******5-DIGIT 60657 GOEBEL, MARYETTE M. 3550 N LAKE SHORE DR AFT 820 CHICAGO, IL 60657-1904 Claim Number: 1017729 Index Number: 1421111007 1186 Water Account Number: 300530125360 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: HELEN SHILLER of Ward 46. 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. he undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estale property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject 10 penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, JL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 'lease Print Name Alderman Edward M. Burke Chairman City of Chicago February 18, 201 1 -111 -111 -11 -1 -11111 - -1 -1 -1111 i -111111 -1111! -1111! 11 -111111111 -1 - 007*001 *******5-DIGIT 60613 BERKE, RENA 3750 N LAKE SHORE DR APT 4G CHICAGO, IL 60613-4231 Index Number: 1421106017 0000 Water Account Number: 463285463285 3/V// Telephone 312-744-3380 For Official Use Only: Ward:_- Intro. Date:. Status:_ Reason:_ Claim Number: 1019904 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arn subjegfjp j/enaj^ies for perjury of falsification herein. OWNER SIGNATURE/ f l/-Ji^L^ DATE t talsitication nerein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 in).?: i? ■ I ■ i ■1111 ■ 1 ■ ■ If 11 ■1111 ■ i' i ■ ■ ■ 11 ■ i ■1 ■ i ■ 11 ■ ■ 1 ■ i ■ 11 ■11111 ■ i1 ■1 m 111 ■ 014*001 *******5-DIGIT 60657 AMBO, ELIZABETH A. 555 W CORNELIA AVE APT 1008 CHICAGO, IL 60657-2728 Index Number: 1421305030 1142 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019340 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 OWNER SIGNATU Very Truly Yours, Edward M. Burke tand I am subject to ifiUjties for perjury of falsification herein. DATE ^1^1 \\ MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ li,li,l,li,llllllilll"illllilllill,llll,li'liil,lni,liiliilll Status:_ Reason:. 007*001*******5-DIGIT 60613 WITEK, ESTHER 4170 N MARINE DR APT 21 M CHICAGO, IL 60613-2342 Claim Number: 1019258 Index Number: 1416304039 1216 " Water Account Number: 463400463400" 201 I SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -Ii-iiI-Xt'xIII-I'-'i-i'i'i-It-iIi-'i-'I'IiI-IiIii!11-! Status:_ Reason:. 007*001*******5-DIGIT 60613 HORN, JAMES L 3900 N LAKE SHORE DR APT 17D CHICAGO, IL 60613-3455 Claim Number: 1022730 Index Number: 1421101035 1088 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your. 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. . I /Z±~> 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 undefstatnd I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATJ Very Truly Yours, ill ft( Alderman Edward M. Burke Chairman February 18, 201 City of Chicago Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1000835 1' 11 - m 1111111111111 -1 -1 -1 -1111 -1111111 r 111 j 1 -1 -1 m 1 -111 -' -1111 007*001 *******5-DIGIT 60613 WEINBERG, MURIEL K. 4170 N MARINE DR APT 17E CHICAGO, IL 60613-2339 Index Number: 1416304039 1161 Water Account Number: 300530331440 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. e undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. DATE 30// OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1111■ 11111 ■ II i11 ■ i1 !111U1111 ■ IM h1111■■11■11■1 ■ ■1 ■ ■11 m ■ i1 ■ 11 Status:_ Reason: 007*001*******5-DIGIT 60613 BEILFUSS, BREDA 4250 N MARINE DR APT 1835 CHICAGO, IL 60613-1715 Claim Number: 1019541 Index Number: 1416301041 1824 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lrlli'HiMillilulliill""lll"illlliillliiTlnl"iill Status:_ Reason:. 007*001*******5-DIGIT 60613 PETROS, COSTAS G. 3600 N LAKE SHORE DR APT 1201 CHICAGO, IL 60613-4644 Claim Number: 1019907 Index Number: 1421110020 1232 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ilhrllillhl",V"h1MThl,liilIHMllHllHllllil Status:_ Reason:. 007*001*******5-DIGIT 60613 GLASSER, CLAIRE L. 4250 N MARINE DR AFT 1136 CHICAGO, IL 60613-1758 Claim Number: 1003502 Index Number: 1416301041 1844 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. i exam? L. 'tLAssr- 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Cliairman February 18, 201 City of Chicago i m 1111111 - -1 > i11 -1 -1111111 r11 -1111 - -11 f11 m -1 -1 -1 -1 l - - m i -1 > - m - 007*001*******5-DIGIT 60613 PONCE, REMED10S Y. 3950 N LAKE SHORE DR APT 1806B CHICAGO, IL 60613-3468 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019038 Index Number: 1421101034 1148 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/lownhouse 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 I, 2011. _the undersigned, on oath, Please Prim Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^U^^ ^ . DATE Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 1)1114411 II,!!,!!,,!!,!!,,!,!,,!,.!!!!!,!,.,,.,!!.!!!!,!,!!!,,!,!!,!.,!, 007*001 *******5-DIGIT 60613 PARKER, HED WIG 4250 N MARINE DR APT 2533 CHICAGO, IL 60613-1741 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1005248 Index Number: 1416301041 1777 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE'^g^^x^ ^ CfoA$jtJL, DATE iS^/T' Jj)7*/ Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago 111 -1 -11111111M -1 -1' i111111111111! i -1 r 1 -11111 -11111111111' 11 m 11 007*001*******5-DIGIT 60613 PARKER, IRMA 4170 N MARINE DR APT 11J CHICAGO, IL 60613-2332 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003134 Index Number: 1416304039 1093 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jZT/g /V?/} 9 A Rl<£ K the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE J&/7)Jl)dsk^T DATE fe-b, UO II Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Btirke Cliairman February 18, 201 City of Chicago 11 - -1111 -1 -11 -1111 - (I - - -11 - -11111 -11111111111 - - M111 h - - -1 -11 -11 014*00l*******5-DlGIT 60657 METAG, MARY J. 3520 N LAKE SHORE DR APT 4M CHICAGO, IL 60657-1805 Index Number: 1421112012 1048 Water Account Number: 300530125209 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1016368 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name ( / l _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do hot 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 Teleplione February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -11 [ 11 -111 >11' I' 11 -11 -1 - i 111111 (11 -11'' -1'' I' - -11 -1 * -111' IM -11 Status:_ Reason:. 015*001 *******5-DIGIT 60657 URIBE, BEGONA 3550 N LAKE SHORE DR APT 2224 CHICAGO, IL 60657-7869 Claim Number: 1017731 Index Number: 1421111007 1581 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE w1 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I ■' 1111111 ■111111" I'111111 h 11"11 ■1 ■" 111 ■ 11111 ■' I 1"1111" 111 111! Status:_ Reason:. 007*001*******5-DIGIT 60613 LOPEZ, INES 3950 N LAKE SHORE DR APT 1226E CHICAGO, IL 60613-3446 Claim Number: 1003170 Index Number: 1421101034 1559 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. I_\ KJ S LO ^ *Z_tne undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IMliiililN-lrrlllillil-l"llNnilll-iiTl-illllll-ll Status:_ Reason:. 007*001*******5-DIGIT 60613 FERNANDEZ. JOSE R. 3950 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-5102 Claim Number: 1022399 Index Number: 1421101034 1390 Water Account Number: 590406463257 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 1. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath. Please Print Name OWNER SIGNATURE. DATE. 3 */" City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ TlllllilirliMilliii-llliirllilirillllliM'-illil<il-lill Status:_ Reason:. 015*001*******5-DIGIT 60657 GLANZ, LENORE M. 3550 N LAKE SHORE DR APT 405 CHICAGO, IL 60657-7807 Claim Number: 1018173 Index Number: 1421 111007 1059 Water Account Number: 300530125360 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. .the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Chairman City of Chicago 7. Telephone 312-744-3380 February 18, 2011 |.||T||||I.|II|II||I|.|.I|||I,|.I,IIII|||||||.|,|||I|||,I, 015*001*******5-DIGIT 60657 MALONE, W. BRUCK 3550 N LAKE SHORE DR APT 1817 CHICAGO, IL 60657-7867 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019347 Index Number: 1421111007 1463 Waler Account Number: 462479462479 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to ihe City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 \AJ. fifcUCfc Mfi/^V-P the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE^^fcO^C fyslAw DATE 1Z> 3-*// Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS -^^0228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone in February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li'i jIi-Iii---1!! il'i-I-Iii l-i->--'-i'i'imII'iI111 Ml-i1 Status:_ Reason:. 021*015******MIXED AADC 606 LUKES, FRANK J. 509 SHIP ST # 206 SAINT JOSEPH, MI 49085-1118 Claim Number: 1015971 Index Number: 1416305021 1023 Water Account Number: 300129024908 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 -11111 -1! 111 - f -1 -11 -111 j I - -1 - j i1 -1111 - -1 i -111111111111 -11 -1 -111 > 007*001*******5-DIGIT 60613 WAGNER, MARY M. 3950 N LAKE SHORE DR APT 718C CHICAGO, IL 60613-3414 Index Number: 1421101034 1378 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_1 Intro. Date:. Status:_ Reason:_ Claim Number: 1018233 Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Please Print Name undersigned, on oath. depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjto penalties for perjury of falsification herein. OWNER SIGNATURES 1 lf%A^fl [\ j K YA »"DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ■ i i«■ ■ -11 ■11 -1 -11 ■ - - ■ 1111 ■ 11 -111 ■ ■11 - ■ i -11 ■ 11 - ■ 111 007*001*******5-DIGIT 60613 RONES, CHRIS C. 4334 N CLARENDON AVE APT 204 CHICAGO, IL 60613-1552 llll-h-1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018214 Index Number: 1417407053 1014 Water Account Number: 300530313327~ '■ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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. , Off-m-r <= Raver Jhe undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand Uam subject to penalties for perjury of falsification herein. OWNER SIGNATURE /jj^^ ^ DATE ^/'^ ?/// Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 3|1 Telephone 312-744-3380 February 18,2011 'H'lihi1.....rliillliiilillii-ll-iliilirlli-lllliihllll 012*001*******5-DIGIT 60640 VAN DERAA, ZOLA A. 4423 N BEACON ST CHICAGO, IL 60640-6398 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011019 Index Number: 1417123021 1004 Water Account Number: 300530501506 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as 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 ftp penalties for perjury of falsification herein. 'tt&JL OWNER SIGNATURE Very Truly Yours, ATE fr-SL-SL -&d I ( Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111111'11111'1111 -111' 11 > * 111 * I -111' -1111111 -11 -11111111111 -'" Status:_ Reason:. 007*001*******5-DTGIT 60613 PETCHER, IDA E. 4250 N MARINE DR CHICAGO, IL 60613-1744 Claim Number: 1000036 Index Number: 1416301041 1336 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whemer 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. I JJDA) i°£TCr4l<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 of January l, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago A Telephone 312-744-3380 February 18, 2011 -V111-1111 ■ > -111 - ■ 11 ii ■ i -1-111■-■1 ■ - - ■ -11 ■ i ■ i ■1 ■ 11 ■ - ■i-1>i-■11- 007*001 *******5-DIGIT 60613 KIRK, MICHAEL L. 3950 N LAKE SHORE DR APT 1500 CHICAGO, IL 60613-5107 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020156 Index Number: 1421101034 1014 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ie 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. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ -11 -1111111 i111 < I -111 < I -1 > 11 -111 - > 111 > I.....--1111 -11[ 11N -111 -1 Status:_ Reason:. 007*001*******5-DIGIT 60613 CHAPMAN, DOROTHY M. 4250 N MARINE DR APT 309 CHICAGO, IL 60613-1721 Claim Number: 1019286 Index Number: 1416301041 1217 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:__ r'i'-hMli'i'iM'-M'HrlH'hil'lr.....'Iin ii Status:_ Reason: 007*001*******5-DIGIT 60613 BENHAM, DENISE M. 4250 N MARINE DR APT 1013 CHICAGO, IL 60613-1726 Claim Number: 1019675 Index Number: 1416301041 1332 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Ol--Nl,^t M- 8l=MHAfl 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE . ? - / - // Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 007*001*******5-DIGIT 60613 MARKS, PHYLLIS 4250 N MARINE DR APT 1435 CHICAGO, IL 60613-1756 Status:_ Reason:. Claim Number: 1018951 Index Number: 1416301041 1820 Water Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name Very Truly Yours, / Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*00l*******5-DIGIT 60613 CARPIO, ISABEL E. 3600 N LAKE SHORE DR APT 201 CHICAGO, IL 60613-4602 Claim Number: 1009026 Index Number: 1421110020 1001 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. been paid and that I understand Alderman Edward M. Burke Chainnan City of Chicago Telephone 312-744-3380 February 18, 2011 |T-I'lllllllllll-"II-Illll|-Ill,-Ill|-Il--Illll|-|--I-Illhll'l 007*001*******5-DlGIT 60613 HARRIS, ELAINE 3750 N LAKE SHORE DR APT 13H CHICAGO, IL 60613-4229 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019690 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE~rf^^^^4-tt/^^ DATE ~1/VUJc I / JU> I I Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ Status:_ Reason:. 015*001*******5-DIGIT 60657 MATHIEU, PAULA M. 3550 N LAKE SHORE DR APT 423 CHICAGO, IL 60657-7839 Claim Number: 1019290 Index Number: 1421111007 1077 Water Account Number: 462478462478 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tp penalties,for perjury of falsification herein. OWNER SIGNATURE ^U^dJ^H vl^^/^ DATE. Very Truly Yours, ' Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 '^fSNfr 228 City of Chicago 5/1 l\ Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ il|lN|ilii|l|||,i1|riili|iriil|i|1iii|ilili111i|1|N|M Status:_ Reason:. 007*001 *******5-DIGlT 60613 WINTER, WILLIAM 4170 N MARINE DR APT 14A CHICAGO, IL 60613-2333 Claim Number: 1003442 Index Number: 1416304039 1121 Water-Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 UJ I I'd. u)t»jT<=,C the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 =^8^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ III.....11111111 - h 11 -1 - r1 -1111 -111 11 -11 -111111111 - -1111111111 j i Status:_ Reason:. 007*001*******5-DIGIT 60613 WOJNAROWSKI, IRENE T. 3900 N LAKE SHORE DR APT 6E CHICAGO, IL 60613-3463 Claim Number: 1018220 Index Number: 1421101035 1101 Water Account Number: 300129027105' 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS undersigned, on oath, Please Print Name ^^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ l-li-i>lliiilli-llllllliTlii>ill>-illlllillilirlilil-llli Status:_ Reason:. 007*001*******5-DIGIT60613 HOPKINS, JOHN W. 4170 N MARINE DR APT 18A CHICAGO, IL 60613-2340 Claim Number: 1005211 Index Number: 1416301039 1169 Water Account Number: 300530331448 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 properly or thai I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undcjstarrO I am subfel^loDenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MJCHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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'MI----I "mi EII'-i-E'i-t'-IIMr'lh'-hl-MI fi-h-il'hliii Status:_ Reason:. 007*001*******5-DIGIT 60613 LAMBROS, MARY 3600 N LAKE SHORE DR APT 1415 CHICAGO, IL 60613-4672 Claim Number: 1022394 Index Number: 1421110020 1293 Waler Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath. OWNER SIGNATURl City of Chicago (I Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ -i'M-i-"1--!1 Mll'il il-lri-i-llM-I'i'-IIMII I'il'-i'lr III Status:_ Reason:. 007*001*******5-DIGIT60613 POUR, MARCELLE H. 3750 N LAKE SHORE DR APT 5B CHICAGO. IL 60613-4231 Claim Number: 1019693 Index Number: 1421106017 0000 Water Account Number: 463285463285 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 lAA- Alderman Edward M. Burke Chairman City of Chicago Committee on Finance City Hall Room 302 60602 www.com m i Ueeon fi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lil"l"illllili,llllili,l,lil'iMluli,lllillllli,l-hilllll Status:_ Reason:. 007*001*******5-DIGIT 60613 SCHWARTZ, RUTH 4250 N MARINE DR CHICAGO. IL 60613-1744 Claim Number: 1003434 Index Number: 1416301041 1089 Water Account Number: 300129030330 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Commiltee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ,1m - i h - i r1 i - i 1 i - i i (11 i i 1" i i i i i -1 i.....H- 014*001 *******5-DIGFT 60657 LICHTERMAN, DORIS 555 W CORNELIA AVE APT 1005 CHICAGO, IL 60657-2725 "'1J111111" 11" 11"1 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1003973 Index Number: 1421305030 1085 Water Account Number: 300530117758 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am,subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111'111 -1 > > - *' i11111''111' 11 * I * 11111 * -11 * 11 > > 11 - -11111111 h I - *111 Status:_ Reason:. 007*001*******5-DIGIT 60613 LICHTERMAN, MAXINE R. 4170 N MARINE DR APT 22H CHICAGO, IL 60613-2335 Claim Number: 1021102 Index Number: 1416304039 1224 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNATURi City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ illlilnlliii-lllil-lllll-llTiill--ihllilii-liill-lii-l-ll Status:_ Reason:. 007*001*******5-DIGIT60613 KIR BY, ARCHIE D. 4170 N MARINE DR APT 7F CHICAGO, IL 60613-2331 Claim Number: 1019576 Index Number: 1416304039 1042 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER ol" Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1. 2011. I /j/RdfV/£. Q> K/^-Qy1_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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ 111 ■ 1111111'1 ■'' ■.11'"11' 11111' 11111"' 1111! ■ 11 ■111111' 111 ■ ■" I'1 Status:_ Reason:. 007*001*******5-DIGIT 60613 FRANDZEL, ENID D. 3700 N LAKE SHORE DR APT 310 CHICAGO, IL 60613-4244 Claim Number: 1020246 Index Number: 1421106032 1047 Water Account Number: 462493462493 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: HELEN SHILLER of Ward 46. To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance musl verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £.l$\t> TX f^(\ friJf> z, & 1 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11 Status:_ Reason:. 007*001*******5-DIGIT 60613 WEIL, ILSA 4250 N MARINE DR APT 430 CHICAGO, IL 60613-1761 Claim Number: 1002866 Index Number: 1416301041 1675 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the First day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I £ i S A W j> / L__me undesigned, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFQLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: 007*001*******5-DIGIT60613 BENGSTEN, BARBARA H. 3600 N LAKE SHORE DR APT 2314 CHICAGO, IL 60613-4630 Claim Number: 1003488 Index Number: 1421 110020 1507 Water Account Number: 462491462491 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640 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. ■^a?*228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason: O'LEARY, FRANKLIN A. 3600 N LAKE SHORE DR APT 605 CHICAGO, IL 60613-4638 Claim Number: 1017975 Index Number: 1421110020 1093 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS $ . O L f* ft. /the undersigned, on oath, Please Print Name Alderman Edward M. Burke Chairman City of Chicago \h111 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019998 February 18, 2011 -11-11111' 11 -11 -1 -11.......i|, |-,|| 007*001 *******5-DIGIT60613 GAEBE, JAMES R. 3700 N LAKE SHORE DR APT 302 CHICAGO. IL 60613-4244 Index Number: 1421106032 1027 Waler Accounl Number: 462493462493 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I ani^sgrjjecUp pj$nalj^6s for perjury of falsification herein. OWNER SIGNATUREylg^^^A j£*f7////j£^ DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 Mlj|IM|.|l||||.||M|||JJInlll.|.||IJ||.||l|| 007*001*******5-DlGIT 60613 EBERSON, GERTRAUD 3600 N LAKE SHORE DR APT 308 CHICAGO, IL 60613-4614 Index Number: 1421110020 1024 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1010895 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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. \( £ <-tv-aia e 1 \ n h>er S the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIG N ATU RE O \ £j3 Cprj-rt DATE f°^/ I 0 : Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 -1' 11' 11' 1111L - -11 -1''11111' 11111 -1111111111'11 - -1' 1111111111 Status:_ Reason:. 007*001*******5-DIGIT 60613 VASQUES, CARMELO J. 4250 N MARINE DR APT 527 CHICAGO, IL 60613-1762 Claim Number: 1004440 Index Number: 1416301041 1595 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. Jhe undersigned, on oalh, 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 («inns -11 - r i - -11111 -111 - -1 - -1 -' -11 m 1111 - -111 j 11 -111111111 -111111 >111 -1 007*001 *******5-DIGlT 60613 MOLESKI, MARLENE M. 709 W MONTROSE AVE #1W CHICAGO, IL 60613-1515 Index Number: 1416300029 1002 Water Account Number: 121061843801 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1018804 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. Please Print Name the undersigned, on oath. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 watet taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhatJ'uxmerstaniwam suhiectAo penaftjys for^perjury of falsification herein. OWNER SIG Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:._ Intro. Date:_ |||I|I|,,,,|||IIII,|||I||,|I|I|.|.|II||,||II|.|,I.T|||||II, Status:_ Reason:. 007*001 *******5-DIGIT 60613 STALLER, JOHN 3950 N LAKE SHORE DR APT 529E CHICAGO, IL 60613-3440 Claim Number: 1018246 Index Number: 1421 101034 1618 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 0 Ha/ 'hit'<R. _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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .ll,,,,,!)!!!!!,,!)!,,,,!,,,,),,,,,!!,,!,!!!!!!,!!,!!!,!!!!!,!,,. Status:_ Reason:. 007*001*******5-DIGIT 60613 ANDERS. RICHARD E. 3950 N LAKE SHORE DR APT 1030 CHICAGO, IL 60613-3445 Claim Number: 1015334 Index Number: 1421101034 1645 Water Account Number: 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 llilllllllTlll|-ll-|lllllTlhllllll- 012*001*******5-DIGIT 60640 WELTER, LYNN M. 4707 N MAGNOLIA AVE # IS CHICAGO. IL 60640-4783 1|||ll.l|1,|.l||ll For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1023207 Index Number: 1417105023 1004 Water Account Number: 65/ /12592473 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. , LHfjJ K. U/gCf&iC^ undersigned on oath> Please Print Name depose and slate lhal I am ihe 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 laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS ^g^228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ li-ll'il'i-lllll-i'li'ilil-ili'-il-i'-'l'l'i'lnil-ll'-iiil Status:_ Reason:. 007*001*******5-DIGIT 60613 GUZEVrCH, BERTA 810 W GRACE ST APT 2103 CHICAGO, IL 60613-5903 Claim Number: 1018954 Index Number: 1420214018 0000 Water Account Number: 466394466094 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and stale that I am the applicant in ihe application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Comniittee on Finance; your alderman will introduce il on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■"'-I'r'rl'Mi rli'i'lhiMMih-i'il-il-" ii Status:_ Reason:. 007*001*******5-DIGIT 60613 SZARANSKA, KRYSTYNA 4250 N MARINE DR APT 1729 CHICAGO, IL 60613-1754 Claim Number: 1002732 Index Number: 1416301041 1661 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^MS\^Hfc QMlft frj^flur^ersigned, on oath, Please Print Name OWNER SIGNATURE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201J For Official Use Only: Ward:_- Intro. Date:_ "■-l-i'iii-l'h'i-lii-i-il'i-i'ill'-lr'-ihiil'i-ll'ili Status:_ Reason:. 007*001*******5-DIGIT 60613 MCGLONE, MAUREEN H 4170 N MARINE DR AFT 6K CHICAGO, IL 60613-2302 Claim Number: 1005171 Index Number: 1416304039 1034 Water Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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) ■*SSI*>228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone 1)0147(1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111N11 - M111 -1111 -1 -1 -1 -1111111 -1 -1: -111 -11111 -1111111111 -11 Status:_ Reason:. 007*001*******5-DIGIT 60613 MARCUS, MARGIE 4170 N MARINE DR APT 9D CHICAGO, IL 60613-2304 Claim Number: 1019314 Index Number: 1416304039 1064 Waler Account Number: 463400463400 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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 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. Edward M. Burke / f3> . MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 fDARdfg' L, ff)pr^(mS the undersigned, on oath, Please Print Name Very Truly Yours, Alderman Edward M. Burke Cliaimian City of Chicago 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ IhIVNiI'IIi-I'Iii'IiIIt'-'i'IIiI'-i'i'i'IiI'-ii'IIII'I Status:_ Reason:. 007*001*******5-DIGIT 60613 OLKEN, BARBARA D. 4250 N MARINE DR APT 307 CHICAGO, IL 60613-1721 Claim Number: 1018776 Index Number: 1416301041 1163 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_■ Intro. Date:_ iil-lllhlllTllll-lilliiilil-iiilil"llil-l--llrlll--llill Status:_ Reason: 014*001*******5-DIGIT 60657 LOCKETT, IDA R. 555 W CORNELIA AVE APT 1110 CHICAGO, IL 60657-2728 Claim Number: 1020657 Index Number: 1421305030 1181 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ lill,),,!)!,,!,,,,!,.,!!!.,!!,!,.,.!!!!!,)!!!,,!.!!!.!,!.!,!,!! Status:_ Reason:. 007*001 *******5-DIGIT 60613 TROUBB, DOROTHY 4250 N MARINE DR APT 434 CHICAGO.TL 60613-1761 Claim Number: 1003031 Index Number: 1416301041 1783 Water Account Number: 300129030354 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS »o»gSJ«,228 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ in-l--M-■■ i-1!-M-l ill-Mil ill-1-!! I11 l-i-ll-Ii IiiMi-i1-1 ili-i Status:_ Reason:. 007*001 *******5-DIGIT 60613 EJSENSTADT, MILDRED L. 4250 N MARINE DR APT 301 CHICAGO, IL 60613-1721 Claim Number: 1016194 Index Number: 1416301041 1001 Water Account Number: 300129030347 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Md<~lH''b g M 5 f-d-.A'/"_the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all olher fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE 2_ - 2--* - ZW/ City of Chicago Alderman Edward M. Burke Chairman Committee on Finance City Hall Room 302 60602 www.com m i tteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGIT 60613 LLORENTE. REGINA S 3950 N LAKE SHORE DR APT 806B CHICAGO, IL 60613-3405 Claim Number: 1022054 Index Number: 1421101034 1138 Water Account Number: 590406463257 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN-SMFTII uf Waid-48^ 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 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640 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 Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ili'T-'lil'ii-ii'l-li'ir-h-ii'-IN-l-'-il-liiiI'lT-hl Status:_ Reason:. 007*001 *******5-DIGIT 60613 WINER, RONALD S. 720 W GORDON TER APT 6H CHICAGO, IL 60613-5701 Claim Number: 1018661 Index Number: 1416303035 1139 Water Account Number: 300530319127 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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. ^^^^^^^^^^^^jJMM^PYtaflBZ«««"'^^^^^*,l^^V Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 SIGNAT Alderman Edward M. Burke Chairman February 18,2011 City of Chicago Telephone 312-744-3380 HI -11 -1111111 -1111 - - - -111111 - -11 - - -1 -11111 11 -11 -1111111 - M111 - 007*001*******5-DlGIT60613 SINGER, ADRIENNE 3900 N LAKE SHORE DR APT 10J CHICAGO, IL 60613-3448 Index Number: 1421101035 1201 Water Account Number: 463253463253 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019313 Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46. 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. Jhe undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE :<^Ldate ^eA^uu^ 32y <26/r/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Teleplione 3L2-744-3380 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017134 February 18, 2011 in-l-"^'-!"'-'^^!'"'!!'!!!!!!!.....,,-11,-11 1 ■ 007*001 *******5-DIGIT 60613 RICHEY, PARK E. 3600 N LAKE SHORE DR APT 2522 CHICAGO, IL 60613-4678 Index Number: 1421110020 1563 Water Account Number: 300530229019 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 ihe property meels these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011. jhe undersigned, on oath, Please Print Name depose and state that I am the applicanl 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 taxesr>property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am si^bjeetlo penalties for perjury of falsification herein. wAlU- KajJ^j date Z'ZX-)I_ OWNER SIGNATURE l(k/VN A" JV^r^y DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS 5/1 hi Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iX-'lihx-lll'iOOn'n'-Tilli'hlhl'ili-lil-i1-111! Status:_ Reason:. 014*001*******5-DIGlT 60657 OSULLIVAN, KATHLEEN J. 3550 N LAKE SHORE DR APT 1603 CHICAGO, IL 60657-1907 Claim Number: 1015826 Index Number: 1421111007 1393 Water Account Number: 300530125377 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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^-TUt^(^M X Q |j the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ i111 -1111111111 - r -1111 r 111 -11 - -111 -1111 - -111 -11 -1 -11 > i - > - -111 -1 m Status:_ Reason:. 007*001*******5-DIGIT60613 MARCHAND, GLADYS 3900 N LAKE SHORE DR APT 3J CHICAGO, IL 60613-3457 Claim Number: 1005302 Index Number: 1421101035 1194 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsificalion herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE City of Chicago Alderman Edward M. Burke Chairman 3 L2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|l,ll,lll||,|l,l|l.ll|.l.l.l|.l|||.ll|.|.||.ll||.l||.|l||.|| ■ i Status:_ Reason:. 007*001 *******5-DIGIT 60613 NORMAN, BETTY J. 4250 N MARINE DR APT 1924 CHICAGO, IL 60613-1748 Claim Number: 1020067 Index Number: 1416301041 1529 Water Account Number: 430751430751 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS OWNER SIGNATU Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111 - - - -1 -1 -1 -1111 -1M1111111 -1111111-1111 -1111 -111 -11 -1111111-i Status:_ Reason: 014*001*******5-DIGIT 60657 CHAPMAN, BARBARA A. 3550 N LAKE SHORE DR APT 919 CHICAGO, IL 60657-1904 Claim Number: 1019674 Index Number: 1421111007 1213 Water Account Number: 462480462480 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. 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 il to your ward office before July 1, 2011. depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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:_ ^lllllll.l,,!,,.,.!!.,!,!!,.!!!-!!!,!-!!!,!!,,,,.!,.,!,!,,,! Status:, Reason 007*001 *******5-DIGIT 60613 BROWN, FLORENCE 3950 N LAKE SHORE DR APT 1628E CHICAGO, IL 60613-3484 Claim Number: 1017073 Index Number: 1421101034 1607 Water Account Number 300129027150 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011. _the undersigned, on oath, depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Altn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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^**-^- bn^y DATE fop 34- 3eH City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 007*001*******5-DIGlT 60613 STOKES, FRANCES A. 4250 N MARINE DR APT 413 CHICAGO. IL 60613-1722 Claim Number: 1019816 Index Number: 1416301041 1326 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 r\&S_the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640 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 Commitlee on Finance Cily Hall Room 302 60602 www.com m i Iteeonfi nance.org 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_' Intro. Date:_ 111 r111' I -1 i11 -1 m - -1111 -1 -1 u -111111 - -1111111 -111111M i h111 -1 Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 HUDSON, NANCY A 3900 N LAKE SHORE DR APT 13A CHICAGO, IL 60613-3453 Claim Number: 1022727 Index Number: 1421101035 1012 Water Account Number: 463252463252 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olherwise 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name .the undersigned, on oath, Alderman Edward M. Burke Chairman City of Chicago 4 Telephone 312-744-3380 February 18, 2011 Miiilliillliuli"lIMIIiiliiili1'..... 014*001*******5-DIGIT 60657 DRISS, DAISY 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944 For Official Use Only: Ward: _ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003440 Index Number: 1421111007 1084 Water Account Number: 300530125377 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. ■ Da A- Dn s ,£_the undersigned, on oath, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE JFcm'a g_ (£< ^TUj-Ji^ DATE_/» I t"C K> 0 2 01 I 0 Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS n Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephotie February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 11111111 n 11 - > - -11'1 -1111 -11 -1 h 11 < -1 - - -111 - -1 -1M -1 - > 111111111 Status:_ Reason:. 007*001 *******5-DIGIT 60613 CLARK. MARY 3740 N LAKE SHORE DR APT 1 1A CHICAGO, IL 60613-4216 Claim Number: 1005187 Index Number: 1421 106030 1050 Water Account Number: 300530230002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject topenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICH3LLA 4544 N. BROADWAY AVE Chicago, IL 60640 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. Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ih'Will-HHi'H'Hi'HHhii'M'HI-MIM'-ipl1111 Status:_ Reason:. 014*001 *******5-DIGIT 60657 KAZ, SIDNEY E. 555 W CORNELIA AVE APT 1411 CHICAGO, IL 60657-2733 Claim Number: 1020802 Index Number: 1421305030 1231 Water Account Number: 462585462585 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Committee on Finance must verify that you occupied this property as your principal residence on ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and 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 estale property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS DATE. 228 3/, Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance Telephone 312-744-3380 February 18, 2011 iVi>ii■»1111■■ i ■" ■ ■ m i ■1 ■ ■ 11111 ■ i ■ 111111 h ■ ■ 11 ■ ■ ■ ■1 ■ 1111 ■11 ■11 007*001*******5-DIGIT 60613 CASPER, ERNEST E. 4250 N MARINE DR APT 2204 CHICAGO, IL 60613-1733 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021570 Index Number: 1416301041 1101 Waler Account Number: 430751430751 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. undersigned, on oath. Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ' OWNER SIGNATURE Very Truly Yours, Edward M. Burke perjury of falsification herein. DATE 3-/- JO// MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS etifS^.228 Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone February 18, 20 ll For Official Use Only: Ward:_ Intro. Date:_ ||l|,111||l1l|l|ll|||||l||,||l|1|||lll1|||1||lllNlh|1||rl Status:_ Reason:. 007*001 * * * * * * *5-D IGIT 60613 WAX, WILLIAM C. 3600 N LAKE SHORE DR APT 1106 CHICAGO, IL 60613-4644 Claim Number: 1019934 Index Nu mber: 1421110020 1213 Water Account Number: 462491462491 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. liilli t a W\ C* i Oy)<\ >^__the undersigned, on oalh, depose and slate that I am ihe 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 HELEN SHILLER Attn: MICHTLLA 4544 N. BROADWAY AVE Chicago, IL 60640 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 Telephone 312-744-3380 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .|||||.|l.|||.||,.ll,.l.|,.,.ll.l.|ll,|,||,l||||||||ll|| Status:_ Reason: 007*001 *******5-DIGIT 60613 MARROTT, JACK 4300 N MARINE DR APT 303 CHICAGO, IL 60613-1502 Claim Number: 1003004 Index Number: 1416300027 1032 Water Account Number: 300530323706 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yom,ward office before July 1, 2011. undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Please Print Name DATE. Alderman Edward M. Burke Chairman City of Chicago February 18, 2011 T-1M11 -11 -1 -1111 -1 -111 -11 -11111 - - -1111 -11111 - -111 - -11 - - -11 - -1 -1 - 007*001*******5-D1GIT 60613 NINETTE, JOSEPH-LAROCHE 3950 N LAKE SHORE DR APT 2220D CHICAGO, IL 60613-3473 Index Number: 1421101034 1437 Water Account Number: 463256463256 Telephone 312-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1022485 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: HELEN SHILLER of Ward 46. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, Please Print Name depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein. OWNER SIGNATURE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640 Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial pivi.Last Name Afe /«. n 2Claimant Address'-r'x'SD /V. marine. Pr- idx1-/3Claimant City, State & Zip CodeCitvStateZip Code 1 C /| / C <3- ^Claimant TelephoneOfficeHome :Cellular4 1 773'5Claimant Birthdate:Must be 65 years of age, or older as of 3/11/2009 11</'"3-7/'31 (jfj/mm/yyyy format6Property Tax Number:Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN | /*/ -| - \?)ol - \c"^ I - \/-^^->7Water Account Number:3 <te Letter xx-xx-xxx-xxxx-xxx format8Building Type:^ Condo r Townhouse r Co-op Apartment9Signature information on Next Page JL^iJit-,^ ^H.- (L-&$c^->-^<*--?<-SPlease print this and return application to your aldermanic office before July 1 HOME I AGENDAS I NEWS I COMMITTEE INFO I RESOURCES I CONTACT US I SITEMAP O 2008 Chicago Cty Couhei-Commltea on Flnanba. Al Rights Rwaivatf Um of this websfts stgrMas yogr agrearnant to lha Jjnia\aUfla\>^ Qoto£lhi^l£pJat>-. Site Devetopad by OieKKLWjBtLMJMaHMut1 Senior Citizens Annual Refund Application Note: *AII Fields Must B« Filled In Claimant Name First_ I 0 C(Lc-4/V Middle Initial Last Name Claimant Address Claimant City, State & Zip Code City_ State 1 Zip Code bop 13 Claimant Telephone Office_ Home Cellular r Claimant Birthdate: Must be 65 years of age, or older as of 3/11/2009 ....- dd/mm/yyyy format Property Tax Number: Water Account Number: Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN I. -J ".' " .T xx-xx-xxx-xi xxxx-xxx format Building Type: f<f^ondo) Townhouse Co-op Apartment Signature information on Next Page 0/--d-*- (J^f^J^t//^- Please print this and return application to your aldermanlc office before July 1 Senior Citizens Annual Refund Application Note: *A1I Fields Must Be Filled In1Claimant NameFirstMiddle Initial Ts.Last Name 1 Jo Vc £ Q(A\ (A M2Claimant Address1 tJ^Zo A/.A)tf£ \ N* Orl- far */7-3_23Claimant City, State ft Zip CodecitvStateZip Code 4Claimant TelephoneOfficeHomeCellular 1 -o-5 |
Claimant Birthdate: |
Must be 65 years of age, or older as of 3/11/2009 |3y,'//?^T5d/mm/yyyy format |
6 |
Property Tax Number: |
Example PIN Number (XX-XX-XXX-XXX-XXXX) PIN UT ■ [A~ - [JTi - ITrT -1 / 7 /, |
7 |
Water Account Number: |
1 xx-xx-xxx-xxxx-xxx format |
8 |
Building Type: |
^I^Conck^) r Townhouse r Co-op Apartment |
9 |
Signature information on Next Page |
|
|
|
|
|
|
|
|
Please print this and return application to your aldermanlc office before July 1
HOME|AfflafflflgIHflfeIcgMimBJISeiIrT^ifX^IOgMMTU81fflgMfle ;; i:/]:}].:^ ■
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 >'111111 -1 h 1111 -11 h 11111111' -1 -1111111111111111 -'f I' 111'111'11
Status:_ Reason:
007*001*******5-DIGIT 60613 KACHALON, RHODA 4200 N MARINE DR APT 204 CHICAGO, IL 60613-1702
Claim Number: 1021052
Index Number: 1416302030 1008
Water Account Number: 463404463404
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale lhal I am the applicant in ihe 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 Seclion 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 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICFOLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
J
Alderman Edward M. Burke Chairman
City of Chicago
3 L2-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
^l.lll,).!,!,...,!!,!,.!.,!!!,.,!,!,!!,!!!!!,!,,!,!!!!,!!!!,!,
Status:_ Reason:.
014*001*******5-DIGIT 60657 LEVINSON, MARGARET 3550 N LAKE SHORE DR APT 210 CHICAGO, IL 60657-1901
Claim Number: 1000679
Index Number: 1421 111007 1010
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application tor the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
-O a/tne undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, v Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 ^ -3-3-1]
».*gjj».228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i.i.illi|.|i|i|iiiiT-llli-lliil-il-ll-l-i>iiilTlllhln
Status:_ Reason:.
014*001*******5-DIGIT 60657 RICHERT, CHRISTINE A 555 W CORNELIA AVE APT 1708 CHICAGO, IL 60657-2736
Claim Number: 1022629
Index Number: 1421305030 1149
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
/
Telephone 312-744-3380
February 18, 2011
HO 01 '
.lllll,,!,,!!!!!!,,!,,,,,,!)!!.!!!.,!!!,,,!,!,!,!!!!!!,.!,.).
014*001 *******5-DIGIT 60657 LIVINGSTON. DO NINE A. 555 W CORNELIA AVE APT 1004 CHICAGO, IL 60657-2726
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020493
Index Number: 1421305030 1067
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ol" January, 2011. 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 /) Oh/lvE- i.Wt*' & i' fC"J the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 /tfv**^^ % ^r^^Qly DATE_
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
- -11111 -11 m 11111111111 -11 -11 -11111; 111111 - -1111111 - E111111 m 1111
Status:_ Reason:
007*001*******5-DIGIT 60613 SMARANDESCU, MIHAI 3950 N LAKE SHORE DR APT 2012C CHICAGO, IL 60613-5102
Claim Number: 1018216
Index Number: 1421101034 1282
Water-Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
ft .
(LU- the undersigned, on oath,
Please Print Name
OWNER SIGNATURE:
-DATE/g/-^ 4 ^ZOS/
*h/n
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
-lil-lllilhllil-l-llhlli-INll-li-l-ilnlllllill-l-i>lll
014*001*******5-DIGIT 60657 N1EMINSKI, JOSEPH C 536 W CORNELIA AVE APT IN CHICAGO, IL 60657-2766
Index Number: 1421112015 1007 Water Account Number: 668958462583
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022859
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE Figg Z. Sf it
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
»iMi,,-,i-i,-|iiii-,i,ii-ii-i,,i»ii»-i-i|,,-ii-iiii,,i-,--,i
007*001 *******5-DIGIT 60613 SCHWARTZ, RENEE 4250 N MARINE DR APT 1922 CHICAGO, IL 60613-1715
Index Number: 1416301041 1476 Waler Account Number: 300129030330
/
/
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005264
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
i rVw/g£ 5&Ui/)wrz.
Please Print Name
Jhe undersigned, on oath,
depose and state that I am the applicant in the application, lhal this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
DATE ?^^^.^3 ^£>H
OWNER SIGNATURE_
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
1111 -1 -1111111111111 -' 111 -11' -11 [ 1111 -1' 11' -' 111' 111 <11 h1' I -11 -1
Status:_ Reason:.
007*001*******5-DIGlT 60613 ALFORD, JESSIE O. 4250 N MARINE DR APT 607 CHICAGO, IL 60613-1723
Claim Number: 1018205
Index Number: 1416301041 1166
Water Account Number: 300129030347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
IyjgSSig C" £f-L.4:riSl£.'X>__the undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, thai all waler laxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11 -11' 11111 -' I -11 -' I1' I' 11111' 11 -11' 111 -1'1'1111111' 111111' 11111
Status:_ Reason:.
007*001*******5-DIGIT 60613 SCHMIDT, NANCY S. 4250 N MARINE DR CHICAGO, IL 60613-1744
Claim Number: 1016723
Index Number: 1416301041 0140
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 signatur;
DATE
>y&3///
Alderman Edward M. Burke Cliairman
February 18, 201
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
'i-iII-tiiiiiiiiiiiiiIi-uiiIiii-"-IIi-iiiiiiiitI'-IIi
007*001*******5-DIGIT 60613
LYNN. SHIRLEY E. mio_ 4250 N MARINE DR-APT 909 -. Clatm Number: 1019575
CHICAGO, IL 60613-1725
Index Number: 1416301041 1223 Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
Jhe undersigned, on oath.
Please Print Name
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
007*001*******5-DIGTT60613 CARDELLA, MARION 4250 N MARINE DR APT 1824 CHICAGO, IL 60613-1715
Claim Number: 1003158
Index Number: 1416301041 1528
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 /Vl^^/^rV C&7t/7/?CtAthe 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, 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 j]y^j^^^(^c7^£e^^DATE A" A* - Xtll
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i -11111 -1 -1 ^ - -111111111 r i -11111 - > -11111 - -1 r -11 -1111111 - - -1111 -111
Status:_ Reason:.
012*001 *******5-DlGTT 60640 ENDO, DORIS 1441 W CARMEN AVE CHICAGO, IL 60640-2812
Claim Number: 1018089
Index Number: 1408307014 0000
Water Account Number: 125070325249
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
■rMl11!1!!!-!11!!!1!11!1-!-!-!--1!1!-!!!!!!-1!!1!--1-"1!!!!-1
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
007*001*******5-DIGIT 60613 PO. ANITA L.
3600 N LAKE SHORE DR APT 421 CHICAGO, IL 60613-4605
Status:_ Reason:.
Claim Number: 1023211
Index Number: 1421110020 1060
Water Account Number: 462493462493
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presenled to the City Council by: HELEN SHILLER of Ward 46.
To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and 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 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 HELEN SHILLER Attn: MICHJ.LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hhlHH»'H'llHllhihililliMilp"iHM'M-»iill»l
Status:_ Reason:.
007*001*******5-DIGIT 60613 BLINDER, ALICE D. 4170 N MARINE DR CHICAGO. IL 60613-2365
Claim Number: 1016803
Index Number: 1416304039 1167
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.i ommiIteeonfinance.org
Telephone 312-744-3380
February 18, 2011
,|lll|,|l|||,||l||,l|l||,,rl|||||||||.|lill|.|,|||,|,
007*001 *******5-DIGlT 60613 MARCH, MART1NE 4250 N MARINE DR APT 824 CHICAGO, IL 60613-1760
Index Number: 1416301041 1519 Waler Account Number: 300129030330
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005961
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for ihe Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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 understan^H^nri subject to penalties for perjury of falsification herein.
OWNER SIGNATURE " n / DATE ,V*^V^^3fc*^ Si O \\
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
GINENSKAYA, RITA
3925 TRIUMVERA DR APT 11G
GLENVIEW, IL 60025-3879
Claim Number: 1021501
Index Number: 1420214018 0000
Water Account Number: 300530219173
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this properly as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 ■ 1111 ■ 11"111 ■1H11J11 ■ ■ ■ ■ i ■1111 ■ ■1 ■" ■ 11 ■11 ■ I ■ I -11 ■11111111 ■1
Status:_ Reason:.
014*001*******5-DIGIT 60657 NEWFELD, CHARLOTTE A. 3520 N PINE GROVE AVE UNIT H CHICAGO. IL 60657-1877
Claim Number: 1018211
Index Number: 1421301028 0000
Water Account Number: 546072130004
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURF^^A^ 7/MfJtl DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
■1iS8?*228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
lK)IV7f>
,II,I,,,I,IIIIII,IIII,II,IIIII,,IIIIII.IITIIIIIII.III.IIIIII.II
007*00l*******5-DIGLT 60613 HURM, JOHN 615 W ADDISON ST #2 CHICAGO. IL 60613-4413
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016720
Index Nu mber: 1421301002 0000
Water Account Number: 300530101203
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and stale that I am ihe applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
»-*fSI»>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ViXilnOilili-'iM'-il'lll'-'rli'l-li'l'IIMXirliil'i
Status:_ Reason:.
007*001 *******5-DIGIT 60613 O'ROURKE, JAMES G. 4170 N MARINE DR APT 21C CHICAGO, IL 60613-2342
Claim Number: 1018474
Index Number: 1416304039 1207
Waler Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-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 Ihe property meets these requirements, you must sign and date this application and return it to your ward office before July L 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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.
■Hf8|i»228
\
V
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
ROSA, VICTORIA
810 W GRACE ST APT 1708
CHICAGO, IL 60613-5900
Claim Number: 1016521
Index Number: 1408408029 0000
Water Account Number: 300530219173
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
007*001 *******5-DIGlT 60613 AGUILAR, PRISCILLA C. 1032 W MONTROSE AVE STE 1 CHICAGO, IL 60613-6040
Claim Number: 1015274
» i
Index Number: 1416300032 1251
Water Account Number: 300530313280
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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, lhal this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
i-o'I-iii-iIi-tIIi11!!-1!....-111 -1 -11 - -11 -111 - - < -11111 - -1
Status:_ Reason:.
007*001*******5-D1GIT 60613' SHURE, ROSE L.
3750 N LAKE SHORE DR APT 16E CHICAGO, IL 60613-4234
Claim Number: 1005768
Index Number: 1421106017 0000
Water Account Number: 300530230903
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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__fyOStf L.SHii^lS__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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-l>'II i-'ilh >i>' --ii-ih-l-i-i-Mii-il'l'-l - >-hl-li>-M Ml.
Status:_ Reason:.
007*001*******5-D1GIT 60613 BISSONNETTE, TOMAS G. 4343 N CLARENDON AVE APT 1001 CHICAGO, IL 60613-1578
Claim Number: 1021572
Index Number: 1416300032 1451
Water Account Number: 463379463379
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 fuM Cr /i/e~r~r£~ 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, 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 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 HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640
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:_
"■lilll-'ii'r'liii-i'-r'li'-ihMi1-....■.■'.'"ir'i'il
Status:_ Reason:
007*001*******5-DIGIT60613 ROSIN, SONDRA L. 3950 N LAKE SHORE DR APT 2205 CHICAGO, IL 60613-5113
Claim Number: 1020658
Index Number: 1421101034 1130
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If ihe properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand Lam subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Prim Name
OWNER SIGNATURE.
"SB?*"228
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone.
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IIh^MIIIIIIImII,,!!!!!!,,,!!,,,,,!!!!,!,,!!,!!!...!.!.,
Status:, Reason
007*001*******5_Digit 60613 HIRSCH. EDITH
3600 N LAKE SHORE DR APT 1520 CHICAGO, IL 60613-4621
Claim Number: 1007779
Index Number: 1421110020 1322
Water Account Number: 300530229019
2011 SENTOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 lhal you occupied mis property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
i ii<ii1111 -1 m ■ 11 - -1 -11 ■ 111-111111111 ■ -1 - ■ -11 -1 ■1 ■ ■ i ■ 11-111-■i■
007*001 * * * * * * *5-DIGIT 60613 COMEIN, ROBERT J. 4170 N MARINE DR CHICAGO, IL 60613-2365
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009049
Index Number: 1416304039 1038
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the First day of January, 2011. 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE \^1a<U;<JL\j L^f>?l&^L- DATE ^/^V/^// Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 -11 -1111 - [111111' 111111 -1 -'1 -1'111111111' - M -1111 f -11' 111111''1
Status:_ Reason:
007*001 *******5-DIGIT 60613 BENN, MARVIN 4170 N MARINE DR APT 12K CHICAGO, IL 60613-2306
Claim Number: 1023254
Index Number: 1416304039 1106
Water Account Number:"463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
OWNER SIGNATURE
City of Chicago
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111 -1111' I - -11!11111 - -1 -11111111 -11 - i i -1 j 1111111 -r 11 -1 - - - j 111 -
Status:_ Reason:.
007*001*******5-DIGIT 60613 GAUL, MARIANNE 3900 N LAKE SHORE DR APT 1 IC CHICAGO, IL 60613-3448
Claim Number: 1017976
Index Number: 1421101035 1058
Water 'Account Number: 300129027105
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 A PfR. I tfrti fVr=- <Sr<TT-^^-the undersigned, on oath,
Please Print Name
Very Truly Yours,
Edward M. Burke
l/MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Aldentian 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: 1018878
ii-iIIIiiiiII-ii-MiItIii-IiIiIiiii-Ii-Iiii-It>-iIiiti
007*001*******5-DIGIT 60613 MAYER, LOIS R.
3900 N LAKE SHORE DR AFT 22J CHICAGO, IL 60613-3459
Index Number: 1421101035 1213
Water Account Number: 300129027105'"'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 subjepUq penalties for perjury of falsification herein.
DATE ^^bJ/
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
111111 -11 - -1! -11 -1 -1 f11 -1 j i -11 - -1 - -1 m 111 -111 - -1111111 < -111111111
007*001 *******5-DIGIT 60613 CASEY, PATRICIA M. 4300 N MARINE DR APT 1406 CHICAGO, IL 60613-5812
Index Number: 1416300027 1087
Water Account Number: 463392463392
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023162
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
.the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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
SIGNATURECyrV^fe/^ \lM. CjBlAA^ DATE.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
1 ■ ■ M ■ ■11"11 ■ 11 ■ 1111 ■ ■ > 11 -1" > I"1 ■ ■ ■ 1111111 ■1111 ■ ■ ■ I ■ ■1 ■ 1111 f 1
Status:_ Reason:.
007*001*******5-DIGIT 60613 GOLDBERG, LORRAINE H. 4170 N MARINE DR APT 23E CHICAGO, IL 60613-2343
Claim Number: 1016843
Index Number: 1416304039 1233
Waler Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior .Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to^penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
i.i111.,.,,. |, 11,. 11. i. g |,. i., 111111111.i,,., 11111
007*001 *******5-DIGIT 60613 MENDELSOHN, ALFREDA A. 3600 N LAKE SHORE DR APT 1324 CHICAGO, IL 60613-4672
l-l-'l
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016879
Index Number: 1421110020 1278
Water Account Number: 300530229019
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
PQIzbf, AM&Nb&JjDUfJ the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand Lam subject to penalties for perjury of falsification herein.
OWNER SIGNATU/RE. Very Truly Yours.
ATE 02/24/ 3~Ol j
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1 n11 - -1111 m 1 -1 ii 11111 - -11111 -(i -1111111 -111-111-111111111(111 -
Status:_ Reason:.
007*001 *******5-DIGIT 60613 SW1SLOW, RUTH
3920 N LAKE SHORE DR APT 16$Q4/
CHICAGO, IL 60613-3447
Claim Number: 1009056
Index Number: 1421101016 0000
Water Account Number: 300129027129
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Altn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
3h//,
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll.l,,,,!,,,!,!!,,!,,,,!,,!,!!!!,,!,),.,!!,,!,,,!!!!,.!!!,!!,,!.!
Status:_ Reason:
014*001 *******5-DIG[T 60657 URBAN, VONDA 3556 N PINE GROVE AVE CHICAGO. IL 60657-1877
Claim Number: 1005763
Index Nu mber: 1421301007 0000
Water Account Number: 300530130904
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
been paid and that I understand I am subject to penalties for perjury of falsification herein.
57?///
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
,l,lllll,lllliril,l,lllll"llllll,lll,llllllll,l,ll,,,llllll,lll
Status:_ Reason:.
007*001*******5-DIGIT 60613 HUMPAL, LINDSAY 717 W MONTROSE AVE #3 CHICAGO, IL 60613-1515
Claim Number: 1019260
Index Number: 1416300028 1003
Water Account Number: 463367463367
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Cilizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 3 L2-744-3380
February 18, 2011
(i)14nl
.llll,!!,),!!!,!!,,,,!!,.!)!.!!,!.!!.!!.!,)!.,!,,!!,!!-!!,!.,!-
007*001*******5-DIGIT 60613 GOESMANN. GERHARD H. 4343 N CLARENDON AVE APT 1611 CHICAGO, IL 60613-1544
Index Number: 1416300032 1263
Water Account Number: 463379463379
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021573
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
GerrT.«.r~j // (zftieA h^KYfre undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, 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.
fh^i^ DATE ^Ay//
OWNER SIGNATURE; Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICF0LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111 - - -1 < i -1111 - - -1 - -111111 - i 11 (>11 - -1 >11111 j 111111 r1 -11 -11
Status:_ Reason:.
007*001 *******5-DIGIT 60613 HEILIZER, FRED 4170 N MARINE DR APT 12E CHICAGO, IL 60613-2306
Claim Number: 1016855
Index Number: 1416304039 1101
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
».<j§S$*22B
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lIIMll-"n'-l'-[in i11-■■'il-'-l-i Mh''"--!''''!!1-1 l-l-i1-1 ■
Status:_ Reason:.
007*001*******5-DIGIT 60613 S1CHAU, ELSIE
3600 N LAKE SHORE DR APT 402 CHICAGO, IL 60613-4604
Claim Number: 1010915
Index Number: 1421110020 1042
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
"Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I ELSIE SICHAU___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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 ww-w.comniilleeonfinance.onr
7
Telephone 312-744-3380
February 18, 2011
1111111J'111111' 11 -' 111111 -1111111'1 -111' I' 11M1111 [ 11 -11 -111 -1 -
007*001*******5-DIGIT 60613 PRATH, LEO R. 4250 N MARINE DR CHICAGO. IL 60613-1744
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018169
Index Number: 1416301041 1193
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 ihe Municipal Code of the City of Chicago, that airwafer taxes, property taxes", and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understandJ^un suhijJCt to penalties for perjury of falsification herein.
OWNER SIGNATURE DATE ^^ra^ ^
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
.■1,111.,,
i1 hi i-M-'Illilll<-lnlllliir hi1 ill-I"-!!-1!
007*001*******5-DIGIT60613 KHOKHLOV, VALERY 810 W GRACE ST AFT 2101 CHICAGO, IL 60613-5903
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020008
Index Number: 1420214018 0000
Water Account Number: 466094466094
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, 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 IF ^o1^^ DATE 1 /Z Z / 2-QH
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
1)1114(17
lliill-li-llllhlll-iil-l-lrlilll-lllllll-ill-lilililililii-
007*001*******5-DIGIT 60613 DEGUZMAN, PLUTARCO 4201 N SHERIDAN RD CHICAGO, IL 60613-1600
Index Number: 1417408020 1008 Water Accounl Number: 463650463509
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020397
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine 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 ihe first day of January, 2011. If the property meels these requirements, you musl sign and date this application and return it to your ward office before July 1, 2011.
I
PLUTARCO DE GUZMAN Please Print Name
jhe undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest iherein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand/1 a/n subjeotyro^penalties for perjury of falsification herein.
FEB 28 201X
OWNER SlGNATUREfeg^T^^ ^ DATE__'_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
iI'iiI'M-'i-KiHiiI-IiIi'IIIi'iII't-'iHi'i'IIIIi'I"1
Status:_ Reason:.
007*001*******5-DIGIT 60613 COUSINS, BERTHA T. 4008 N CLARENDON AVE UNIT B CHICAGO, IL 60613-3102
Claim Number: 1017998
Index Number: 1417418025 1001
Water Account Number: 121070120107
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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.
^JL^LjjfJ^, (ttxA^sL^ DATE %0i[
City of Chicago
CommiUee on Finance
Alderman Edward M. Burke Cily Hall Room 302 00602 Telephone
February 18, 2011
llli-illlill-lm-l-iii-Nillliiil»ill-illliill-llrl-lili1'
014*001*******5-DIGIT 60657 DAPIN, MARIAN 3550 N LAKE SHORE DR CHICAGO, FL 60657-1944
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000692
Index Number: 1421111007 1116
'""Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I JytAE-jA-KJ DAP IN__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 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^enaltiel or.as^sftfljents owed to the City of Chicago have
been paid and that I understand I am subjectto penaljies forpmuryiM Jpsmcation herein.
OWNER SIGNATURE /___DATE_^ ^7 //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 I
For Official Use Only:
Ward:_
Intro. Date:_
Ill|-Illlllll|-Illl|-Illlllllll|-Illlll|-Hl-Illllllllll|-Illllll
Status:_ Reason:.
014*001*******5-DIGIT 60657 BENOY, THERESA A 3550 N LAKE SHORE DR APT 821 CHICAGO, IL 60657-1904
Claim Number: 1022694
Index Number: 1421111007 1187
Waler Account Number: 462478462478
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
lillilli""li"llirMHIilill"'lrllilirllTlll"llill
Status:_ Reason:.
014*001*******5-DIGIT 60657 BROWNING, CAROL G. 555 W CORNELIA AVE APT 710 CHICAGO, IL 60657-2724
Claim Number: 1022500
Index Number: 1421305030 1177
Water Account Number: 462585462585
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 properly meets mese requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate lhat I am ihe applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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
noiJ10
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I"' 111 h111"""....111'111 -111111M" 11" ■ 11111"1" ■1' I" ■ 1111111111
Status:_ Reason:.
007*001*******5-DIGIT 60613 GORMAN, MERRY L. 4200 N MARINE DR APT 801 CHICAGO, IL 60613-1707
Claim Number: 1023231
Index Number: 1416302030 1041
Water Account Number: 463404463404
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
I fyjfJZ/ZY L . Gr£>/Z/jfln\ 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 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1 -111 - > -1111 -1111' 1111 - - -1111 - - -111111 -....11111 -11111'1 -1111
Status:_ Reason:.
014*001 *******5-DIGIT 60657 DRAKE, ANN K.
3550 N LAKE SHORE DR APT 2417 CHICAGO, IL 60657-1912
Claim Number: 1000026
Index Number: 1421111007 1630
Water Account Number: 300530125360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before Ju>^l, 2011.
depose and stale lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all 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
L 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE T^TTclgrr-IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
T|||l,|,l|l,ll||||l|||.||,|,||,|,||.,|,|l,l.,||||l|l|l.|l||
Status:_ Reason:
014*001*******5-DIGIT 60657 LISS, SYLVIA
555 W CORNELIA AVE APT 912 CHICAGO, IL 60657-2726
Claim Number: 1006190
Index Number: 1421305030 1217
Water Account Number: 300530117758
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or 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 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll.llllll,,,,!!,!!!,,!,!,,!!!,,!,,11,1,,T|l|,,111,,|||
Status:_ Reason:.
007*00l*******5-DIGlT 60613 CICEKLI, B1LYA 4250 N MARINE DR APT 2305 CHICAGO, IL 60613-1734
Claim Number: 1022501
Index Number: 1416301041 1129
Water Account Number: 430751430751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I B VLYft c 1 1_the undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
«.»|j«3*>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llVillIV'illlH'il'llliiilHlllil"iil-lrllH'lIHllll
Status:_ Reason:.
007*001*******5-DIGIT 60613
RUSSELL, EVELYN A.
3600 N LAKE SHORE DR APT 907
Claim Number: 1015269
CHICAGO, IL 60613-4643 Index Number: 1421110020 1166 Waler Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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, thai all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undgfpand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICF0LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATU'
».-*gg*,22B
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:
li-Ni-lii-li'-'-'-Mlil-lll-'i-'h'll'iMiiii'-'nM11
Status:_ Reason:.
014*001*******5-DIGIT 60657 ROSS. RUTH G.
3550 N LAKE SHORE DR APT 2618 CHICAGO, IL 60657-1914
Claim Number: 1005266
Index Number: 1421111007 1687
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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.
■*Sg?»>228
City of Chicago
Telephone 312-744-3380
lill1'
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011018
Alderman Edward M. Burke Chairman
February 18, 2011
- ■ m 1 i ■ 111 ■ 1111 -1 ■ -11111 -a ■ i -111 -1 -1 -1 - ■ i - ■ ■ - -11 ■1 ■ ■ 1111
007*001 *******5-DIGIT 60613 SPINUZZA, STEVEN J. & JEAN 4300 N MARINE DR APT 1704 CHICAGO, IL 60613-5804
Index Number: 1416300027 1060
Water Account Number: 300530323706
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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, lhat this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arj>sTr|5jg£Dstpenalties for perjury of falsification herein.
DATE Z'Zrff-y.
OWNER SIGNAT' Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
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||,|,|ll,||||,|||,|||l|.ll|||||..|l|lll
Status:_ Reason:.
007*001 *******5-DlGIT 60613 ROTTO, ALBERTA 3600 N LAKE SHORE DR APT 1320 CHICAGO, IL 60613-4618
Claim Number: 1016003
Index Number: 1421110020 1274
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 PrlktfWr- L< (Icrrro 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.
OWNER SIGNATURE QiU«tZ_s £*> DATE °" >c'(f
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
RETAIN 1 COPY FOR YOUR RECORDS
sSaS*-228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
-I - ^111111' -1111 -1111111111' I - -111 -1 < 11' 111 -111 -' -11 -111 ■ 111
007*001*******5-DIGrr 60613 IRWIN, LOUETTA 3600 N LAKE SHORE DR APT 1501 CHICAGO, IL 60613-4649
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016152
Index Number: 1421 110020 1304
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied tiiis property as your principal residence on the first day of January, 2011. 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 IH the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURl
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201 1
■iiihhii-ti-,ii,ii--ii-i|ii||ii--ii|f--i]|iii||i|i||iiiii-ii-
007*001*******5-DIGIT 60613 VULEKAS, ANNA M. 3930 N PINE GROVE AVE APT 1116 CHICAGO, IL 60613-3359
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018219
Index Number: 1421100018 1143
Water Account Number: 300530239313
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/lownhouse 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 Anna M, l/ujekas _the undersigned, on oath,
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 °<- rfT-H
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please da not send it to the Committee on Finance: your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
*SS^>228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|,.||llll|||l|l||.ll|||ll|||ll,|||l.||l|||,|l|.|||,|ll|||||
Status:_ Reason:.
007*001*******5-DIGIT 60613 LUNDGREN, KENDA N 3900 N LAKE SHORE DR APT 21A CHICAGO, IL 60613-3458
Claim Number: 1022733
Index Number: 1421101035 1020
Water Account Number: 463252463252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
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 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
3hl 11
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
"It'11 III I11!1!''"lli'il'iMili'-'iilj111!!11!--'iii'i'IIOiiiI
Status:_ Reason:.
007*001*******5-DIGIT 60613
HAMILTON, BETTY M. 3900 N LAKE SHORE DR CHICAGO, IL 60613-3452
Claim Number: 1009069
Index Number: 1421101035 1170
Water Account Number: 300129027105
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate lhat 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 water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
*fgS*>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ihh|i||iir||iri|i|lllllllliMllilllr'lnlillllllllll'ii
Status:_ Reason:
007*001*******5-DlGlT 60613 SEIGAN, ROSABEL I. 4170 N MARINE DR CHICAGO, IL 60613-2365
Claim Number: 1016844
Index Number: 1416304039 1186
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office beforeJuly 1, 2011.
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MTCHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
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
"*CS^228
Aklerman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Committee on Finance City Hall Room 302 60602 www.ee im mi t leeon fi nanee.org
007*001*******5-DIGIT 60613 BLUME, ROSEMARY D. 4250 N MARINE DR AFT 2604 CHICAGO, IL 60613-1736
Index Number: 1416301041 1105
Water Account Number: 300129030330
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002801
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to
your wai
't^^the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lilli"llllllliill-ilillllhliirlliiliillillllllli"H"liM
Status:_ Reason:.
007*001 *******5-DIGIT 60613 GRAU, PEARL
4250 N MARINE DR APT 1309 CHICAGO, IL 60613-1728
Claim Number: 1003515
Index Number: 1416301041 1227
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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>»afciV)ffice before July 1, 2011.
r\/g,^*C > ihe undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject yf penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
*§«?*> 22B
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 ww'w.cornmilteeonfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
||II,I,II|,|||||I.TI|.||II.|.||.|||||.|I.II|III.|I.|||I|.
Status:_ Reason:.
007*001*******5-DIGIT 60613 SPERTUS, GEORGETTE 4250 N MARINE DR APT 1702 CHICAGO, IL 60613-1730
Claim Number: 1015271
Index Number: 1416301041 1042
Waler Account Number: 300129030347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|l|.l|,||||l||l|,||l||,|||,|l,|l|,|||l,||||l,|||,,l|||,l
Status:_ Reason:.
007*001*******5-DIGIT 60613 HERSON,HELENE 3600 N LAKE SHORE DR APT 1601 CHICAGO, IL 60613-4651
Claim Number: 1002764
Index Number: 1421110020 1328
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
■I'i'IiIII'-'i'-'-i'-"!"-!'-'!"-'!!!!'''!'-!!'"-'!'!-!'!!1
Status:_ Reason:.
007*001*******5-DIGlT 60613 BOYLE, JOHN 4300 N MARINE DR APT 405 CHICAGO. IL 60613-1504
Claim Number: 1003520
Index Number: 1416300027 1063
Water Account Number: 300530323706
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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.
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Very Truly Yours.
Edward M. Burke
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:_
-illill-il-ll-llTlN-i-llll-lll-l-ill-l-iilillIMll-iinn-l
Status:_ Reason:
007*001*******5-DIGIT 60613 LUDWIG. MARY ANN 4170 N MARINE DR APT 12C CHICAGO, IL 60613-2306
Claim Number: 1019906
Index Number: 1416304039 1099
Water Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE.
DATE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
007*001*******5-DIGIT 60613
LEVINE, SYLVIA
4170 N MARINE DR AFT 9G
Claim Number: 1011765
CHICAGO, IL 60613-2304
Index Number: 1416304039 1069
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
depose and slate thai I am the applicant in the application, that Ihis is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxesyproperty taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I undersji&nd/l/am subjecH^penalties for perjury of falsification herein.
Very Truly Yours. / Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
AlHernian Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111'1 ■ 11 ■ 111 ■ ■ 111111 ■ ■1 r 111! 1111 ■ ■" ■1111" i1 ■11" 11111 ■ ■11 111
Status:_ Reason:.
007*001 *******5-DIGIT 60613 SEMPER, BRIDGET M. 3930 N PINE GROVE AVE #2001&2002 CHICAGO, IL 60613-3346
Claim Number: 1019592
Index Number: 1421100018 1256
Water Account Number: 463302463302
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 BfPPGT^T fviflRC.FH>£T SnHP&Rhe undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: M1CHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 wwTv.comrnilleeonfinance.org
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'■"■■li-lTl-ll-l-llllil-iii-ll-lil""irluiriTlii'li
Status:_ Reason:.
007*001 *******5-DIGIT 60613 MANILOW, ELAINE G. 3750 N LAKE SHORE DR APT 2C CHICAGO, IL 60613-4220
Claim Number: 1019695
Index Number: 1421106017 0000
Water Account Number: 463285463285
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATURl
DATE 0<2s/t&3//{
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i - - -111 - -1 r i1 -1111111111111 > i1 - -11 -11 -11111111 j1 -11 -11 - - - -1 > 111 f1
Status:_ Reason:.
007*001 *******5-DIGIT 60613
URCHENKO, HELEN
4170 N MARINE DR APT 20F
Claim Number: 1019329
CHICAGO, IL 60613-2341
Index Number: 1416304039 1198
Water Account Number: 463400463400
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If me property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
February 18,2011
-111111111111111111 - -1 * 111 -1' < -11111111 i111'111 -11 -11111 -1111 -11 j
007*001 ******+5-DIGIT 60613 KJTT, WALTER
3750 N LAKE SHORE DR AFT 10D CHICAGO, IL 60613-4233
Index Number: 1421106017 0000
Water Account Number: 300530230903 ~
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011297
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 LiMiTgg. k!tT
Please Print Name
Jhe undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE
^^P^DATE fz^ZLj ZO ff
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago. IL 60640
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:_
1111111M' 111 -11111 -'1111111 -111' 11' 111111' 11MI'' -11'' 111111 -''1
Status:_ Reason:.
007*001*******5-DIGIT 60613 STIEFEL, OLGA
3600 N LAKE SHORE DR APT 1420 CHICAGO, IL 60613-4620
Claim Number: 1000717
Index Number: 1421110020 1298
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecl to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago. IL 60640
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
*fS^>228
City of Chicago
Alderman Edward M. Burke Cliairman
Committee on Finance City Hall Room 302 60602 tt'ww.commilleeonfinanoe.org
3j2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'l-lii'-lr'Wn-lillili'illili'li'l'I'nllhl1'1.....1
Status:_ Reason:
007*001*******5-DIGIT 60613 HORWITZ, MARIAN G. 3600 N LAKE SHORE DR APT 718 CHICAGO, IL 60613-4600
Claim Number: 1015267
Index Number: 1421110020 1128
"Water Account Number: 300530229019'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
depose and stale lhal I am ihe applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
owner signatur:
>M(aJj^J'fUitin/k' date^/V/
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1.....■Ihllill-l'i'-ll'-'I'lili-lT'l'lllrl'i'iilhlli11!-11
Status:_ Reason:.
007*001*******5-DIGIT 60613 MACDOUGALL, JANET 3600 N LAKE SHORE DR APT 1801 CHICAGO. IL 60613-4670
Claim Number: 1022180
Index Number: 1421110020 1376
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state lhat I am the applicant in the application, that this is my principal place of residence as 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, v Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 <^Ak^~T^ M f\C^Q>W>AU-^ihe undersigned, on oath.
Please Print Name
?/t7'I
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
lii'hili'ihi"-!-'-!'!!1-.....I'il'p||'l»lii'»i'r'l'»
007*001*******5-DIGIT 60613 LEVI EVA
4300 N MARINE DR APT 902 Claim Number: 1003017
CHICAGO, IL 60613-1508
Index Number: 1416300027 1023
Water Account Number: 300530323706
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this properly as your principal residence on the first day 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 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to nenalties for perjury of falsification herein.
U fa DME 5- - X^ ' l&tt
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
lliilMilllrlilll-ilhili-,ill-iilr-ilillililillililli,i
Status:_ Reason:
007*001*******5_DIGIT 60613 NATHAN, MARION J 3900 N LAKE SHORE DR APT 12A CHICAGO, IL 60613-3453
Claim Number: 1002936
Index Number: 1421101035 1011
Water Account Number: 463252463252
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: HELEN SHILLER of Ward 46.
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.
I W\e\«.\.c~>«Q> 3". vO ^TVvPnOi the undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATUR1
DATE ^> - \ \
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lll-llilll--ln>llillrl-lli»'illlil-i
l|i,|ii,ill,|.i
Status:_ Reason:.
007*001 *******5-DIGIT 60613 THALL, SYLVIA
3600 N LAKE SHORE DR APT 2305 CHICAGO, IL 60613-4658
Claim Number: 1018217
Index Number: 1421110020 1499
Water Account Number: 300530229019
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, v Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATU
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hail Room 302 60602 Telephone
February 18, 2011
mill1'.....-iiii->iiI>IitI--IiiiiIIiIIiiiiItItIi-iiIii
015*001*******5-DIGIT60657 COOGAN, MARGARET M. 3550 N LAKE SHORE DR APT 603 CHICAGO, IL 60657-7808
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019288
Index Number: 1421111007
Water Account Number: 462480462480
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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.
undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
ll-'iuMM'-il-'1 i'ii'i1 "Mr iiiih"'i'r'-ri li'IMIr I1'Mh
007*001*******5-DIGIT 60613
ORBACH, HYMAN G. . M , im01,.
4250 N MARINE DR APT 1516 Cla.m Number: 1018441
CHICAGO, IL 60613-1729 Index Number: 1416301041 1418 Water Account Number: 300129030254
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-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 ihe properly meets these requirements, you must sign and date this application and return it to
your ward office before July 1, 2011.
' Plen«e Print Nome
he undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understaoa I am sufcrject to penalties for perjury of falsification herein.
OWNER SIGNATUREA^yftZfrl^ > \J4*\ ___ DATE
7/
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Cliainnan
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
/1 -1 -11' 11' I -' 11 >'1'1 -1 -1111 *' 11 {*11 *'' > I *111111 * 111111 *11' 11 * 111
Status:_ Reason:.
014*001 *******5-DIGIT 60657 ROSS, RUTH G.
3550 N LAKE SHORE DR AFT 2618 CHICAGO, IL 60657-1914
Claim Number: 1005266
Index Number: 1421 111007 1687
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. O Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 3 L2-744-3380
February 18, 2011
HUMS 3
11 -) i11 - M i11 ■ 111111111' i111M M ■1111111 ■ I ■ 11 ■
007*001 *******5-DIGlT 60613 ,; HONAKER, SANDRA S 4170 N MARINE DR APT 14B . CHICAGO, IL 60613-2333
-II1!1!1!!
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023255
Index Number: 1416304039 1122
Water Account Number: 463400463400
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
OWNER SlGNATURyfe^^^/^>Z^^/^ DATE ,-J> ft, cZd//
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
^^8^.228
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
1111M -1 k' I'11111' 111111111111 -11111M - h111 -1 - -11111' 11 - -'11111 -
007*001 *******5-DIGIT 60613 JOFFE, JO C.
656 W BUENA AVE UNIT 2 CHICAGO, IL 60613-2280
Index Number: 1416302031 1002
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019200
Water Account Number: 463337463337
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance musl 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, 201J
the undersigned, on oath.
lease Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underslandj^am subjecHevpena)'ties for perjury of falsification herein.
OWNER SIGNATURE_JT^ \,U^T / DATE ^ \-^-J I ^ >
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
lliiill-l-lliiil-illnll-llrl-li-l-ilr»lllllrll-llil
Status:_ Reason:
007*001 *******5-DTGlT 60613 WHrTLINGER, BENNE B. 4250 N MARINE DR APT 603 CHICAGO, IL 60613-1723
Claim Number: 1004355
Index Number: 1416301041 1058
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
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 befote July A, 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 waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, / Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 SIGNATURR^^w
DATE
Alderman Edward M. Burke Cliairman
Telephone 312-744-3380
February 18,2011
ihhilll-i-i-ll--i--i'ihiMlli-llllrll-illlli,illill-lll
007*001*******5-DIGIT 60613 DAVID, MARYANN M. 647 W BUENA AVE APT 2E CHICAGO. IL 60613-2278
Index Number: 1416303038 1002
Water Account Number: 463375463375
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023210
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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
jhe undersigned,
Please Print Name
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.
OWNER SIGNATURE
~YU r^Ly^DATe£ - 2 b - I L
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
0
Alderman Edward M. Burke Chairman
City of Chicago
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■--■hlll'l'll-'I'l-Ol-ll"!!-!!'-'^'!!!!!!!-!--!'-!!1!
Status:_ Reason:.
007*001*******5-DIGIT 60613 SMELSER, MARY 3750 N LAKE SHORE DR APT 12H CHICAGO, IL 60613-4229
Claim Number: 1020015
Index Number: 1421106017 0000
Water Account Number: 463285463285
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jM, art! S el 6>eV~ 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, u Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
AIflerniaii Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
February 18, 2011
■■IiiniIii-i"'i.I'I11.....M1111111 < -11 - -1 -11
007*001*******5-DIGIT 60613 BOGACH, LARISA 3750 N LAKE SHORE DR APT IC CHICAGO, IL 60613-4220
Index Number: 1421106017 0000
Water Account Number: 300530230903
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
Claim Number: 1019935
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I uiWiejstand I am subject-to penalties for perjury of falsification herein.
owner ^km^U^cJvC^C^ cj/ DATE_^X-j'^3 ff I
I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
11
February 18,2011
i i ■ ■ m ■ 11 i1 ■111 ■ i ■11 ■ i1 ■ ■ 111 ■ ■ i ■ i ■ i11111 ■111111 ■ ■ 1111 ■ i ■ i ■ 1111
007*001*******5-DIGIT 60613 HELY, DORTHEA
3900 N LAKE SHORE DR AFT 12C CHICAGO, IL 60613-3453
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003530
Index Number: 1421101035 1059
Water Account Number: 300129027105
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name /
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all wati|r\taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
been paid and that I u'
OWNER SIGNATURE
Very Truly Yours,
penalties for perjury of falsification herein
DATE
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
F i11 j -1 f 11 > -111111 - -1 - M1 -1 -11 - -1 -1 -111111 -111111 > 111111 j 1111111 -
007*001*******5-DIGIT60613 LEETCH, ROBERT J. 617 W ADDISON ST APT. #1 CHICAGO, IL 60613-4413
Index Number: 1421301002 0000
Water Account Number: 462456462456
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022157
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN S FULLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I^^inderrtand^ £m subject t^penaltiesjgfflerjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i i -1 - -1S -1111 -1111 -1 - -11111111 w1 -1 -1 -11 - -111 -111 - - -1 -11111H
111
Status:_ Reason:.
007*001*******5-DIGIT 60613 SANCHEZ, MAGDALENA M. 3950 N LAKE SHORE DR APT 215C CHICAGO, IL 60613-3409
Claim Number: 1022403
Index Number: 1421101034 1308
Water Account Number: 463256463256
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 MQ-<>}hAle~-AS/} Pl< Sl/V^daS-undersigned. on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or thai I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
Status:_ Reason:
007*001*******5-DIGIT 60613 COLEMAN, HELEN M. 4250 N MARINE DR APT 1024 CHICAGO, IL 60613-1757
Claim Number: 1018096
Index Number: 1416301041 1521
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
/y^^LAi the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable inlerest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 201 1
City of Chicago
Telephone 312-744-3380
111 - - h -1 -111 h11 -11 -11 m -11 I -11111 - j IN i111111 -11 h 1111 -1 -11 -
007*001*******5-DIGIT 60613 FIRSE, EDNA
4250 N MARINE DR APT 2523 CHICAGO, IL 60613-1741
Index Number: 1416301041 1509
Water Account Number: 300129030354
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003531
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
^ Please Print Name
Jhe undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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.
£<jy,a /*>■ Pi4coatp. fk S, 17-10ii
OWNER SIGNATURE.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i1 ■i■111111m 11 ■ -1 ■ i -11111111 1111111 111 -1111 ■ i11111 ■ 1111■111
007*001 *******5-DIGIT 60613 SEINFELD, CHARLOTTE 4250 N MARINE DR APT 1029 CHICAGO, IL 60613-1757
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003470
Index Number: 1416301041 1654
Water Account Number: 300129030330
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
\l Hf=ri{Lcfll~ L- Sp/lv/Ffi-* h the undersigned, on oath, Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATU Very Truly Yours
sinUfc y SL ^^/jdate zlziji® 11
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
noi-i.'u
i' I" 11' -' 111 * 111' *' 1111111 * 11 * 11' I * 111' 1111 -11 [ - *'1111 * *' I *
007*001 *******5-DlGlT 60613 SEMERSKY, ELVIRA 4250 N MARINE DR APT 1401 CHICAGO, IL 60613-1728
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015571
Index Number: 1416301041 1012
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 LS t At %■ ft 5 K V- £ \~V 1 R fi. the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that 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.
OWNER SIGNATURE ?JaMA^L SlWl J>/M<JLj. DATE 2 ~ 12 " 2.G II
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 < 11111111 f i - h -1 -11 - -11111....IIIiMI'i'i1
in
Status:_ Reason:.
012*001*******5-DIGIT 60640 IKANOVIC, DZEMAL 4848 N WINTHROP AVE APT 1314 CHICAGO, IL 60640-3645
Claim Number: 1020392
Index Number: 1408414038 0000
Water Account Number: 44/564447564
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. f
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllll-'i'-VI'-l-iil-ii-x-IV'-i'iii'-i'-il'iil'-ii-l1!
Status:_ Reason:
012*001 *******5-DIGIT 60640 NAJERA, SARAH 1460 W ARGYLE ST CHICAGO. IL 60640-3548
Claim Number: 1011101
Index Number: 1408310024 0000
Water Account Number: 300730809604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE^
DAI'E
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11,11,1,11,l.lllll,!,,,,,!!!!,,!!,,,,,!,!,,,,,!,!!!!!!,!!!!!!,,!!
Status:_ Reason:.
007*001 *******5-DIGIT 60613 CALANDRA, LOUIS D. 4170 N MARINE DR APT 24E
Claim Number: 1017008
CHICAGO, IL 60613-2344 Index Number: 1416304039 1245
Water Account Number: 300530331448 ---
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 otherwrse\Qualify fora refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, Bropertjy taxes/and/aliother fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, f Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE
been paid and that I urn
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
■l^'lllllllll'llllIMlllIMlllplll""Tllllll»l,ll
Status:_ Reason:
007*001*******5-DIGIT 60613 KLIS, LOUISE
3600 N LAKE SHORE DR AFT 1218 CHICAGO, IL 60613-4619
Claim Number: 1022179
Index Number: 1421110020 1248
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
, /-VQCpcS1 5 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 topenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
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 City Hall Room 302 60602 Telephone
February 18, 2011
■1 i i i 1111 - ■ ■ 111111111 ■ ■ ■ i ■ i111 ■111111 -11111111 ■ ■ i1 ■ i11 ■ 11 ■ ■11111 ■
007*00l*******5-DIGIT 60613 HENNEY, BARBARA J. 3600 N LAKE SHORE DR APT 1918 CHICAGO, IL 60613-4627
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017237
Index Nu mber: 1421110020 1416
Water Account Number: "300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-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 ihe property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I fortZBAfcA-X I^EaI/JE ¥ the undersigned, on oath. Please Prinl Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
Status:_ Reason:.
012*001*******5-DIGIT 60640 MELKIC. ZILHA
4848 N WINTHROP AVE APT 407 CHICAGO, IL 60640-3691
Claim Number: 1020390
Index Number: 1408414038 0000
Water Account Number: 447564447564
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640
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:_
■Ii1!!-1!!!1!-11 ■■■-lllilM -ll -il-1-1!-!
Status:_ Reason:.
007*001*******5-DIGIT 60613 SMULL, MARILYN 3600 N LAKE SHORE DR APT 1921 CHICAGO. IL 60613-4627
Claim Number: 1016369
Index Number: 1421110020 1419
Waler Account Number: 300203229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to Ihe City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 subjectp penalties for perjury of falsification herein.
OWNER SIGNATURE 4^^^Q^J0^^A^ Z 6, >
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
llM-ll-iHirl-lil-lillll-IMilnHll-l-llihllli-iili
Status:_ Reason:
021*018******MIXED AADC 606 ZARKFDNA, SOFIYA 733 OSTERMAN AVE APT 506 DEER FIELD, IL 60015-6103
Claim Number: 1016420
Index Number: 1420214018 0000
Water Account Number: 300530219173
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
depose and slate lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
HrliHlilll^ii'hpHlllhilHllillli,»IIHlIIHHIl
Status:_ Reason:
007*001*******5-DIGIT 60613 MIL AS KEY, ROBERT J. 3930 N PINE GROVE AVE APT 2305 CHICAGO, IL 60613-3363
Claim Number: 1019380
Index Number: 1421100018 1308
Water Account Number: 463302463302
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have
Very Truly Yours, ■' ^ yj
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Pnnt Name
the undersigned, on oalh,
City of Chicago
Committee on Finance
AMerman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i i-i- ll,ll^MlMIMil-il M ■lMl hil-Mi ill hi h iillli I
007*001*******5-DIGIT 60613 CORBEILLE. JUDITH D 700 W BITTERSWEET PL APT 408 CHICAGO, IL 60613-2377
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022059
Index Number: 1416304042 1041
Water Account Number: 463368463368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN SMITH of Ward-48r
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
ownfp. STr,NATTrRr^^it-K"T^. OiniiOt H Q date j Qjb I \
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago. IL 60640
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, 2011
111 -1111111111M i m I -' 11111 -4111111111111111 -1111 -' 11 -11 - -111 -1 -
007*001*******5-DIGIT 60613 MICHALSKJ, RICHARD G 3950 N LAKE SHORE DR APT 1206B CHICAGO, IL 60613-3408
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022057
Index Number: 1421101034 1142
Water Account Number: 463256463256
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: MARY ANN SMITH uf WartMgr,
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 of January 1, 2011 that I am ihe 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 undersTiand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
DATE 2-23- J J
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
<-1II-1'1111111111111 -11111 -1111''11111111111111'1 -11111111111 -11
007*001 *******5-DIGIT 60613 BUERGO, JOSE
3950 N LAKE SHORE DR APT 2002 CHICAGO, IL 60613-5111
Index Number: 1421101034 1062 Water Account Number: 463256463256
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022055
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN SMITrFefOMaid^
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
Please Print Name
Lr -6 r"?the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am s^ubject^to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
DAT
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
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%
Alderman Edward M. Burke Cliairman
City of Chicago
February 18, 2011
i11 ^1 ■ ■ i ■ -1 -1 ■ ■ i ■ 11 - ■1111 ■ i -1 ■ ■ 111 ■ 111 ■ -11 ■E i -11 - < 11111 ■11 ■ i -1 ■ i
007*001 *******5-D1GIT 60613 BADER. CHARLOTTE M 3950 N LAKE SHORE DR AFT 1218C CHICAGO. IL 60613-3418
Index Number: 1421101034 1383
Water Account Number: 590406463257
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022053
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARY ANN SMITH uf WdrtMSr-
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 CHAfiLo-rn? 3AD£/<
Please Print Name
Jhe undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^^^^zA^^DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
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,.!,!,.!,!!,,,!,.!!.!!,,!!,!,,!.))!.!)!.!.,.,!.!.!!.!.,!,
Status:_ Reason:.
007*001 *******5-DIGIT 60613 GIBSON, WAYNE R. 3600 N LAKE SHORE DR APT 2714 CHICAGO, IL 60613-4680
Claim Number: 1021522
Index Number: 1421110020 1602
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 HELEN SHILLER Attn: MICF0LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201 I
KMKlS
||,|,|ll.||l|.l||l,|||,l||||l|ll||l|||l|,|ll|l||.l|||l|.l
017*003*********3-DIG1T 606 BULMASH. SIDNEY 1307 S WABASH AVE APT 401 CHICAGO, IL 60605-2622
Index Number: 1416301041 1437
Waler Account Number: 300129030330
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003516
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 201
Please faint Name
|the undersigned, on oath,
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, 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, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
*SE^>228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744,3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
Ij-1 -1 ->^1111111M11111 -111Mi111 -11111-11 -111111 -11 -1 -1111-111-1
Status:_ Reason:.
007*001 *******5-DIGIT 60613 RIVERA, MILAGROS 3600 N LAKE SHORE DR APT 1521 CHICAGO, IL 60613-4621
Claim Number: 1022177
Index Number: 1421110020 1323
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you musl sign and date this application and return il lo your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
j Kif.TO'' the undersigned, on oath,
Alderman Edward M. Burke Chairman
City of Chicago
*/>/«
Telephone 312-744-3380
February 18, 201 1
iili-i-lilii-l-lill-llmiiill-lli-ll-Tlll-lilliilNi-»iiil
007*001 *******5-D1GlT 60613 ASHFORD, BEVERLY A. 672 W IRVING PARK RD APT G2 CHICAGO, IL 60613-3127
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021086
Index Number: 1416305021 1046
Water Account Number: 432093432093
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_lhe undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE; ^t/j/^jj^ DATE ^/j-Fj *0 II
Very Truly Yours, fj ^
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
3/1/11
\
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.com m i t leeonfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■11■1111■111111111 ■ 11111 ■ ■ 1111111 -1 ■ - ■1111 ■ 11111111 ■ ■M1111■11
Status:_ Reason:.
007*001*******5-DIGIT 60613 PENNER, JOYCE E. 4250 N MARINE DR APT 1733N CHICAGO, IL 60613-1754
Claim Number: 1018212
Index Number: 1416301041 1769
Water Account Number: 300129030330
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, V Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please da 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,
Alderman Edward M. Burke Chairman
February 18,201
City of Chicago
' I' 11----' I *' 11 [' 111' 111 * 11 ^ I'' I' 11' 111' I *' I * *' 11''' 111'' 11 * 11 '
007*001*******5-DIGIT 60613 TWARDOWSKJ, JON 810 W GRACE ST APT 2703 CHICAGO, IL 60613-5908
Index Number: 1420214018 0000
Water Account Number: 300530219173
Telephone 312-744-3380
For Official Use Ward:
Jse Oi
4k
nly:
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018218
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes^afltHfll other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I an) subject te penaltias for perjury of falsification herein.
(Mil CkOfifoa*, l^Z&i(
DATE
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 mvw.com mitteeonfinance.on'
Telephone 312-744-3380
February 18, 2011
■h»liiiliM-llllii,l,illl-ll1lillilil"l-llll,lillill11
007*001 *******5-DIGIT 60613 SALTIEL, NATALIE 4250 N MARINE DR CHICAGO, IL 60613-1744
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007787
Index Number: 1416301041 1827
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 /iffljib^fc i/1 ^-T'^ the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURiy^--?-z^^^ /Q^-^T^-A^ ^ " Q
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago. IL 60640
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:_
Lll!!,!,,!!,!,,,!!!,,!),!,!!!,!!!,,!,,!!!,,!!!,!,!,!,,,!,.,!,)
Status:_ Reason:.
007*001*******5-DIGIT 60613 JOSEPH, LAWRENCE 3950 N LAKE SHORE DR APT 1920D CHICAGO, IL 60613-3479
Claim Number: 1000589
Index Number: 1421101034 1434
Water Account Number: 590406463257
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and relurn il lo 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, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
1111«11 ■ 1111111 -11 - - -111 -11111111111 -11 -11 -1111 -1 -11 - -11 -111 -
007*001 *******5-DIGIT 60613 CONDYLIS, JUDY 4250 N MARINE DR APT 915 CHICAGO, IL 60613-1725
Index Number: 1416301041 1385 Waler Account Number: 300129030330
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1009024
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I
v 0 *f (jft/VZN YI tne undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE <9jZ/jA/c?'£>//
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-M-ll-'-l-'i-iil'MilinlXTli-ililoiiirT-'-inll
Status:, Reason
007*001*******5-DIGIT 60613 YAMASHITA, MITS 4343 N CLARENDON AVE APT 1113 CHICAGO, IL 60613-1581
Claim Number: 1017268
Index Number: 1416300032 1308
- Water Account Number: 3005303 13280
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as 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 HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
I' 11 -11 {11111' -1'1 -1' 11 < 111M11 r 111' I' < 11 h' 111111 -' -1 (111 f -1111'
007*001 *******5-DIGIT 60613 RETZLOFF, LOIS
4343 N CLARENDON AVE APT 2617 CHICAGO, IL 60613-6507
Index Number: 6549873216 0000
Water Account Number: 300530313280
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020101
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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.
, Lois RtrzLOFF
the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I/am suhj«st to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE Pl-2-£~- 1|
Edward M. Burke
; j "OFFICIAL SEAL" ! MOHAMrAAD A. ALI
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE i T: Notory Public State of l»'n0ls _
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
7
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1'"'"1111"'1111111'""" 11' 11'11"' 1111 ■1'1111111"' I ■ I' ■ 1111111
Status:_ Reason:.
007*001*******5-D1GIT 60613 FOX, ALICE
3950 N LAKE SHORE DR APT 1811 CHICAGO, IL 60613-3469
Claim Number: 1003528
Index Number: 1421101034 1258
Water Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 20 IT. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_j*U/^- FrlX_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 City Hall Room 302 60602 Telephone
February 18, 2011
Ml ■ i M i' 11111 ■ ■1M1111111111111 ■ i ■ I ■ ■ 11 I ■ ■1 ■ 11 ■ i 11 ■ 11111111 ■1 ■
007*001 *******5-DIGIT 60613 CARNELL, URSULA K. 4170 N MARINE DR APT 7E CHICAGO, IL 60613-2331
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1009072
Index Number: 1416304039 1041
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 oalh,
Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^M/Z^t ){, T^^W/£^DATE 3 ~V "~ //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: M1CHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 I
For Official Use Only:
Ward:_
Intro. Date:_
I'-ii-li'll'Ir'-iNXil'lll1!1!1-11-!!1!1-1-111)!11-!-1!!!
Status:_ Reason:
007*001*******5-DIGIT60613 ROSS, JIMMYE H. 700 W BITTERSWEET PL APT 809 CHICAGO, IL 60613-2382
Claim Number: 1017961
Index Number: 1416304042 1094
Water Account Number: 300530301805
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
5,
Telephone 312-744-3380
February 18, 2011
11111 -11 [ 11 h1 -1111'11M1'' 11111 h I -1 -11 -11 -1 -1111 -1 -11' 11111M11
007*001 *******5-DIGIT 60613 SINGER, RUTH 3930 N PINE GROVE AVE CHICAGO, IL 60613-3346
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003078
Index Number: 1421100018 1238
Waier Account Number: 300530239313
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
>ur ward ottice betore July l, zui l.
Rdk m singer*
Jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
ATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
'^^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|I|II|||||II||I,||IITI||I|||||||||||I|III|I>|I|I,|IM|I|||II||
Status:_ Reason:.
007*001*******5-DIGIT 60613 PANOS, SONYA
3930 N PINE GROVE AVE APT 603 CHICAGO, IL 60613-5502
Claim Number: 1017453
Index Number: 1421100018 1051
Water Account Number: 300530239313
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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. 201 1
-ll!ih-llllilllillirllillliilillllllllll-lu--lli-lllllhlll»
007*001 *******5-DIGIT 60613 BERNS, MARVIN D. 4300 N MARINE DR APT 602 CHICAGO, IL 60613-1508
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023163
Index Number: 1416300027 1020
Water Account Number: 463392463392
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, thai I am ihe owner of record of said real estate property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water (taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I un It rsjtand I ani^siibje^t if) penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DAT
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
3ll[<\
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.ll.l||rlr|l.lh||.|||T|n||.nl|l-ll|l-||-||.l|l.l|
Status:_ Reason:
007*001*******5-DIGIT 60613 KANGLES, CECILIA M. 700 W BITTERSWEET PL APT 306 CHICAGO, IL 60613-2355
Claim Number: 1018629
Index Number: 1416304042 1026
Water Account Number: 300530301805
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Cec / l>cz /n. j\a/)^/ej- the undersigned, on oalh,
depose and state thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
DATE.
■*Sg?*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
- -1 r 11 -111 h11 - F - -11111 -11 - > -11111 m 11 -1111111111 -1111 -1 -11111 -11
Status:_ Reason:.
007*001*******5-DIGlT 60613 WILTERDING, DORIS 4170 N MARINE DR APT 15G CHICAGO, IL 60613-2337
Claim Number: 1016334
Index Number: 1416304039 1139
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
Telephone 312-744-3380
February 18, 2011
lI'llll-'I'l-ll'l-'l-llllllh'lllM'lTl'-h-ll'l-I'lT-ll-
007*001*******5_D|GTT 60613 GOLDFARB, IRENE 3930 N PINE GROVE AVE APT 1616 CHICAGO, IL 60613-5508
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000172
Index Number: 1421100018 1207
Water Account Number: 300530239313
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
.the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
M^7
sftl"
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111' - - -11111 -1 < 11111 -1111111'1111'' 11111 -11'J' 111' -11'1M11
Status:_ Reason:
007*001 *******5-DIGIT 60613 TRUCHLY, VASIL 4300 N MARINE DR APT 904 CHICAGO, IL 60613-5803
Claim Number: 1011580
Index Number: 1416300027 1053
Waler Account Number: 300530323706
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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-<ubjebt to penalties for perjury of falsification herein.
Very Truly Yours, c---
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 City Hall Room 302 60602 Telephone
February 18, 2011
1101572
MhMi^lllillliliTlilliil-"llliliilllllilillililllru'lii
007*001*******5-DIGIT 60613 FRIEDLAND, SELMA 3750 N LAKE SHORE DR CHICAGO, IL 60613-4238
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019653
Index Number: 1421106017 0000
Water Account Number: 463285463285
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thafl am 65 years of age or older, and otherwise^qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand/I am subjeetto penalties forTjerjury^f falsification herein.
OWNER SIGNATURE A+dO*^ ^Cy^^k^^J^^ g% ~~<2-,3-~
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
a.^KS*228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
lltil.VS
,llllllllll,lllllll,l,ll,.lllll,lll,.l,l[lll,llll,llllll.
007*001*******5-DlGIT60613 MILLER, LEONARD 3900 N LAKE SHORE DR APT 14J CHICAGO, IL 60613-3454
Index Number: 1421101035 1205
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003514
Water Account Number: 300129027105
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 LeoHAitp VTVlt£fr_tne undersigned, on oalh.
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 zBlsWV&bJL ATE_2 - Zl - I I
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll'"-!-!'^!-'!'!!-''!!!'!!''-'!'!'1.....hi'M"'"'""-1
Status:_ Reason:
007*00l*******5-DIGIT 60613 KUHR, LAWRENCE 3600 N LAKE SHORE DR APT 819 CHICAGO, IL 60613-4613
Claim Number: 1000019
Index Number: 1421110020 1153
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICF0LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
undersigned, on oalh, Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
i|i|ih|.Mi1|i|||T|i|1i||L|i|hHillnnlililillllMI
Status:_ Reason:.
007*001*******5-DIGIT 60613 CANNON. BETTY L 3900 N LAKE SHORE DR APT 16H CHICAGO, IL 60613-3455
Claim Number: 1022728
Index Number: 1421101035 1183
Water Account Number: 463252463252
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, 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, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understarfll I am subject to penalties for perjury of falsification herein.
Very Truly Yours, j ^ / ^^
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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.
ATE
n
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
lluirl-l-l-llhli-llilnll-ll-iilllhllnlllllhlil-lllT
Status:_ Reason:.
007*001*******5-DIGLT 60613 TORO, ALBA 1.
4343 N CLARENDON AVE APT 1213 CHICAGO, IL 60613-1543
Claim Number: 1022401
Index Number: 1416300032 1309
Water Account Number: 463379463379
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
-$g&22B
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
i-l-l-lhl-li-"-ll-lTillilhlillllnllllrMii-lili-l
007*001*******5-DIGIT 60613 ROSENBERG, MICHAEL 3726 N LAKE SHORE DR APT 3 CHICAGO, IL 60613-4256
Index Number: 1421106043 1003
Water Account Number: 462496462496
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020446
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your^ward office before July 1, 2011.
Please Print Name
Jhe undersigned, on oath,
depose and state that I am the applicant in the application, lhal this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, of-operty taxes, and alLraner fees, penalties or assessments owed to the City of Chicago have been paid and that I undarataBd I am subject to penalties for perjury of falsification herein.
tat
OWNER SIGNATUR Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 City Hall Room 302 60602 www.com niitteeonfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
015*001*******5-DIGIT 60657 VARGO, JOHN S. 3550 N LAKE SHORE DR APT 614 CHICAGO, IL 60657-7808
Claim Number: 1015794
Index Number: 1421 II1007 1124
Water Account Number: 300530125360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
<*gs^>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|,|l.|ll,|l|l|||||||,|.,|l|,l||,l|,|l|l||,||l|l,|l|,||l.ll,|
Status:_ Reason:.
014*001*******5-DIGIT 60657 KLUSIS, EMILY M. 3550 N LAKE SHORE DR APT 1822 CHICAGO, IL 60657-1910
Claim Number: 1017730
Index Number: 1421111007 1468
Water Account Number: 300530125360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Jhe undersigned, on oath,
Please Print Name
DATE.
3/1/1'
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111 -11 -1111 - - -111 -111 -1 -1[ 111 -1111111111 -111111 -11 -1 -1111 -11 - H
Status:_ Reason:.
014*001 *******5-DIGIT 60657
GRAN BERG, ROY C.
3550 N LAKE SHORE DR APT 417
Claim Number: 1015832
CHICAGO, IL 60657-1902 Index Number: 1421111007 1071 Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
3fa/i\
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hl'lhTlilllillllilillHiilllilllll,lllil'l,hlliilllliliil
Status:_ Reason:.
007*001*******5-DIGIT 60613 TRINEN, BERNARDINE 3600 N LAKE SHORE DR APT 2806 CHICAGO, IL 60613-4667
Claim Number: 1000721
Index Nu mber: 1421110020 1619
Water Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and 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 HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oalh.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll.lllll.l,!,,,!!,!,,!,!!,!)!,!),!!,,,!,!!!!,,,,!,!!,,!!.,,.!!
Status:_ Reason:.
007*001*******5-DIGIT 60613 WILLEY, ANN L.
3950 N LAKE SHORE DR APT 2010 CHICAGO, IL 60613-3470
Claim Number: 1009085
Index Number: 1421101034 1238
Water Account Number: 300129027150
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Cilizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1.-2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record.of said real estate property or that I have a legal or equitable interest therein, that I am 65 years 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:
AJderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011067
illii-lnll-lilllill-lrmli-liil-luillll-lillllrlM11'
014*001*******5-DIGIT 60657 GOLDSTONE, ADRIENNE J. 555 W CORNELIA AVE APT 1703 CHICAGO, IL 60657-2735
Index Number: 1421305030 1055
Water Account Number: 300530117758
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
Please Print Name
[Oft One undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate properly or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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:_
.|||.||lll|lll.l|l.|l|l|ll|l.|l||||l.||||nl|T|.|IH|l||T|
Status:_ Reason:.
007*001*******5-D1GIT 60613 OSTERT, BARBARA M. 3600 N LAKE SHORE DR APT 609 CHICAGO, IL 60613-4668
Claim Number: 1022398
Index Number: 1421110020 1097
Water Account Number: 462491462491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICH1LLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
\7$fl/tB/U r5?STE^T"the undersigned, on oath,
Please Print Name
DATE.
228
\
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111 111 -1 -!11 -111 -111 - -1111111 -1111111 -111 - -111 j 1111 -1 - - - -1 -1 h
Status:_ Reason:.
007*001 *******5-DlGIT 60613 BREWSTER, LAURIE D. 810 W GRACE ST APT 2003 CHICAGO, IL 60613-5902
Claim Number: 1007389
Index Number: 1420214018 0000
Water Account Number: 300530219173
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whetiier your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_ -■
Intro. Date:_
i-ill-liirlillii-iilllnliiiili-li-ll-lll-llllhl-<-hlirlrll
Status:_ Reason:.
007*001*******5-DIGIT 60613 LEWIS, JENNETHA 810 W GRACE ST APT 603 CHICAGO, IL 60613-3930
Claim Number: 1021103
Index Number: 1420214018 0000
Water Account Number: 466094466094
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: HELEN SHILLER of Ward 46.
To determine whether your condo/co-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 properly meels these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I j v\/ ErTHQ L.AS-W i V the undersigned, on oath.
Please Prim Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate-progeny or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE.
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
- -111111 -111 -1 -11! -11111 -11111 11 r 1111 - -11 [ 11111 -11111111 -11111 -
014*001 *******5-DIGITj50657 ~.
MCOD0ON, vcra-b. Ooc/bnerj ClCctrC
3550 N LAKE SHORE DR ^ CHICAGO, IL 60657-1944
Status:_ Reason:
Claim Number: 1002763
Index Number: 1421 111007 1167
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 C?|0-tY-C 3UOC^-ef the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all olher fees, penalties or assessments owed to the City of Chicago have been paid andtthat I understand I/am subjecLto penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. B RO A DWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf.
Please Print Name
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
ll-liillllilii--lrl--l-i--il-lllililll--lilllliilllilill--llllli
007*001*******5-DIGIT 60613 MIURA, AYUMU PEARL 3600 N LAKE SHORE DR APT 2319 CHICAGO, IL 60613-4631
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1002911
Index Number: 1421110020 1512
Waler Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Seclion 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, properly taxes,-and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to-penalties for perjury of falsification herein.
OWNER SIGNATURE t^zjIu^u i '--7 DATE -J-V- - Xol\
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alrlerman Edward M. Burke Chairman
February 18, 2011
11'1111 1111' I -111111' 11111 -111 -11111 * 11 h1 -1111111
007*001*******5-DIGIT 60613 KONDO, NANCY M. 3950 N LAKE SHORE DR APT 830E CHICAGO. IL 60613-3443
Index Number: 1421101034 1643
Water' Account Number: 463256463256
City of Chicago
Telephone 312-744-3380
.Mil.
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022499
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
I
6jV\ C
Pie;
.the undersigned, on oath,
Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
4 c^O//
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
Telephone 312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
',',l,ll"l"llllr,"'"lll,,l',",llll"'ll','ll'l"',"l"l'll
Status:_ Reason:.
007*001*******5-DIGIT 60613 DAHL, ELEANOR 4250 N MARINE DR APT 1101 CHICAGO, IL 60613-1726
Claim Number: 1002857
Index Number: 1416301041 1009
Water Account Number: 300129030354
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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 thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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 flDE ^ f\ tfLftfe undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,||,1|I,||TI|..||I,|1|I|||||TI|I|,I||I||IIII||||I1
Status:_ Reason:.
014*001 *******5-DIGIT 60657 STRUNK. ELEANORE 3550 N LAKE SHORE DR CHICAGO, IL 60657-1944
Claim Number: 1000653
Index Number: 1421 111007 1250
Water Account Number: 300530125377
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 /^.^Ttg^f^j^u/f/ the undersigned, on oath,
depose and state lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
<&})22B
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 ww'w.conimitteeonfinance.org
Telephone 312-744-3380
February 18, 2011
■liriiil'l,il,llliT,l"iii"',lll,ii'l,ll,iliililllilii"ll,ii
007*001 *******5-DIGIT 60613 POULAKIDAS, SHIRLEY C 3900 N LAKE SHORE DR APT 10B CHICAGO, IL 60613-3448
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022726
Index Number: 1421101035 1033
Water Account Number: 463252463252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^^^C^MffE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
111 -1 -11111 j i1 w - r11111 m 111111 - -11 -111111 r i111
021*019******MIXED AADC 606 CIZEK, JEAN E.
555 FOXWORTH BLVD APT 2073 LOMBARD, IL 60148-6483
lll'-ll'l-
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016068
Index Number: 1421110020 1420
Waler Account Number: 300530229019
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_--^s /0 ^ / 2 £~/<Li__tne undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjufy^jf-^alsific-fttjon herein.
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
IU27KI
,'i'i"l,iil,lllll'll'llrl"lil"l','liil'li'l'll'lill,lil"''"
012*001 *******5-DIGIT 60640 ECK, THERESA 1458 W ARGYLE ST CHICAGO, IL 60640-3549
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005977
Index Number: 1408310024 0000
Water Account Number: 300730809604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
Please Print Name
* C'f^ the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MIC HILL A 4544 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
3h/l>
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hil'-H'HI-....-I'-Oi-l-'i-inii'ill-'l-'il-'iillh
Status:_ Reason:.
007*001 *******5-DIGIT 60613 KARPER, DONALD J. 4170 N MARINE DR APT 22A CHICAGO, IL 60613-2335
Claim Number: 1004437
Index Number: 1416304039 1217
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
I ^^SVCvoq "S. V^frfeff ^_the undersigned, on oath,
depose and stale lhal I am the applicant in the application, lhal this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe Cily of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHILLA 4544 N. BROADWAY AVE Chicago, IL 60640
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
*fs?*>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
007*001*******5-DIGFT60613 BOOK, AUDREY 4170 N MARINE DR CHICAGO, IL 60613-2365
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003019
Index Number: 1416304039 1059
Water Account Number: 300530331448
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: HELEN SHILLER of Ward 46.
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.
_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
>S, <^r^K DATE 3 // [jl
OWNER SIGNATURE. Very Truly Yours, !
■ i
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman HELEN SHILLER Attn: MICHJLLA 4544 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS