Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
■■■■■i-lih-Mihll,-ll-iihl-ll-ili-i-ll-ll,lllilillli-111
016*001 *******5-DIGIT 60660 MILLER, WILLTAM 6101 N SHERIDAN RD CHICAGO, IL 60660-2870
Index Number: 1405211021 1021 Water Account Number: 300730523627 "
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007983
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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, 2l 1.
I Aj,ll L-i Lu I A jOA l\\ ^Lfir^ndersigned, 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 falsificatiofi herein.
OWNER SIGNATURE
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
016*001 *******5_DIGIT 60660 MILLS, ALAN P. 6007 N SHERIDAN RD APT 36E CHICAGO, IL 60660-3012
Status:_ Reason:.
Claim Number: 1003256
Index Number: 1405215015 1321
Water Account Number: 300730549 i 61
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 /tL AM P Al t *~L\ 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 to the City of Chicago have been paid and that I understand I am subject to penalties 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
OWNER SIGNATURE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■"r- lli il illlli MII,,-lil -i,ll lllili-l,lli,,,lllil, il-M
012*001*******5-DIGIT 60640 MISTARAS, EVANGELINE 5555 N SHERIDAN RD APT 1509 CHICAGO, IL 60640-1627
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011032
Index Number: 1408203001 0000
Water Account Number: 300730728507
2011 SENIOR 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 48.
To determine whether your condb/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 ^"K^Mcyg/ \rl5 M 1<?TA<RAS 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURr^fe^^¥ DATE 1 /1 /_
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:_
llilli'TMlHu'lrilllnli"l-lhll-lllilllli-lll'ilili
Status:_ Reason:
016*001 *******5-DIGIT 60660 MOCH. ALBERT 6007 N SHERIDAN RD CHICAGO, IL 60660-3039
Claim Number: 1011030
Index Number: 1405215015 1169
Water Account Number: 300730549161
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 4J_f3E.^'T ^\OC-tV 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 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 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
OWNER SIGNATURE.
Aldennan Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1' ■ 11111 ■1 ■ I""" 111111'"" " I' I ■ I'1' I ■11111" 11"1"11"" I" 111"11" I'1
Status:_ Reason:.
012*001*******5-DIGIT 60640 MOSTEK, KARLENE A. 5555 N SHERIDAN RD APT 1008 CHICAGO. IL 60640-1623
Claim Number: 1020315
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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, that I 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 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
D 5 T'C. £ _the undersigned, on oath,
Please Print Name
DATE.
■^BJ»>22B
City of Chicago
Committee on Finance
Aldennan Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
012*001 *******5-DIGIT 60640 MULHERIN, GERALDINE 5555 N SHERIDAN RD APT 708 CHICAGO, IL 60640-1646
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020314
Index Number: 1408203001 0000
Water Account Number: 449460449460
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 fc-gfr. ftLDfWg Uj-t+ixEJ/the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE-A^Utjg.XuC^^ uJLfaA**-' D/SIE 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-11 f -11111111 -11111111 r i11111 m 111 -111111 r - -1111 -111111 - -1 -11111
Status:_ Reason:.
012*001*******5-DIGIT 60640 MUNOZ, MARIO 5455 N SHERIDAN RD APT 1912 CHICAGO, IL 60640-1933
Claim Number: 1000029
Index Number: 1408203016 1203
Water Account Number: 300730728187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 olher-wise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of
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
i /^7/9j2JQ 4/tJ/Uo
;the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
■MnrMill'hllhHMhiiillMlill-illHpllHilrlllirl
Status:_ Reason:.
016*001*******5-DIGIT 60660 MUSKE, RAYMOND R. 5901 N SHERIDAN RD APT 3H CHICAGO, IL 60660-3629
Claim Number: 1021557
Index Number: 1405403019 1019
Water Account Number: 452712452712
2011 SENIOR 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 48.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I R i'W.'vXpnJo ry, CV\ 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 subject to penalties 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I"IttI'iIi"IiIiIiI,iIii'iIIIiI'iiii,,Ii,iiiii,tIi,I,iiII
Status:_ Reason:.
016*001*******5-DIGIT 60660 MUSS, JAMES W. 5901 N SHERIDAN RD APT 8B CHICAGO, IL 60660-3634
Claim Number: 1000028
Index Number: 1405403019 1063
Water Account Number: 452712452/12
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 XQ/'OgS W. J^IUSS 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 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
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
hllll'lll"!'^!'!!^^^!'!!^!''!^^'!.''!!!!!^!!!!!1!
012*001*******5-DIGIT60640 MUSSO, MARY R. 5030 N MARINE DR APT 1906 CHICAGO, IL 60640-3383
Index Number: 1408408035 0000
"Water Account Number: "447777447777
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019179
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 subject to penalties for perjury of falsification herein.
OWNER SIGNATURE J^. }f^^^7 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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
March 19, 2010
For Official Use Only:
Ward:_
Intro. Date:_
1.1111.. 11... I111..... II... 11.1 I.. 11 11.11.. 11I
13* 1 5-D MYSZKOWKI, PAUL 5030 N MARINE DR APT 1705 CHICAGO, IL 60640-3381
Status:_ Reason:
Claim Number: 0919476
Index Number: 1408408035 0000
Water Account-Number: 447777447777
2010 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2009 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2010. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2010.
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 l, 2010, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of 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 l 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 l COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
been paid and that I understand! am sul
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i«>:7f)4
>l-ii-l>-IhiMM-i1 n'MI->l-i>'i >>-i'i11!'- Ii -1>
012*001*******5-DIGIT 60640 MYSZKOWKI, PAUL 5030 N MARINE DR APT 1705 CHICAGO, IL 60640-3381
.......
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019476
Index Number: 1408408035 0000
Water Account Number: 447777447777
2011 SENIOR 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 48.
To determine whether your condo/co-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.
_the undersigned, on oath,
I Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all wateAtaxes, property t£»es, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undejst.and I am subj^t to penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
Aldennan Edward M. Burke Chairman
City of Chicago
Commillee on Finance City Hall Room 302 60602 winv.oonimitleeonfinance.iirg
31.2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-■I'li'li-i'-iil-illi'l-lo-'T-il'I'rIiill'T11)!1-11-!
Status:_ Reason:.
012*001 *******5-DlGIT 60640 NASH, DORIS A. 5455 N SHERIDAN RD APT 703 CHICAGO, IL 60640-7420
Claim Number: 1003251
Index Number: 1408203016 1051
Water Account Number: 300730728187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 ^D^ftlS fV Nf\SH 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 J am subject to penalties 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,1,11,1,,,,1111.1,11,111,11,111,1,.,1,.,1-llOl-ll-hlH-lll1
Status:_ Reason:.
0I7*002*********3-DIGIT606 NAUDZIUS, ALDONA K 5733 N SHERIDAN RD APT 29C CHICAGO, IL 60660-8767
Claim Number: 1022658
Index Number: 1405407015 1107
Water Account Number: 451114451114
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
l(
»-<J8J»228
City of Chicago
Alderman Edward M. Burke Chairman
.3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllll.l,,,,,!!,!!,!,,,),,,.,,!!,!,!!,!,,!,!,,),,,,!!,!,!!.!.!!!,,
Status:_ Reason:.
016*001 *******5-DIGIT 60660 NAVARRO, BARBARA J 6007 N SHERIDAN RD APT 15A CHICAGO, IL 60660-3004
Claim Number: 1022659
Index Number: 1405215015 1107
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 fea-rUara X ftjfl \Jq r- p 0_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 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
MAJL 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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
■ ■ m ■ i 11 ■ i■ ii ■1111 ■ ■ 11 ■1111 ii ■ ■ 11 ■11 ■ ■ i ■ ■ i ■ i ■ 111■111■■111■11■i■
0l2*00l*******5-DIGIT 60640 NICOLAY, ROBERT C. 5555 N SHERIDAN RD APT 1406 CHICAGO, IL 60640-1636
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020312
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Later e /oi CO L-\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
Very Truly Yours,
DATE
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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
016*001*******5-DIGIT 60660 NISHI, SALLY 6007 N SHERIDAN RD CHICAGO, IL 60660-3039
Index Number: 1405215015 1189
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016155
Water Account Number: 300730549181
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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.
^jity- ( ( t-f f\fl SI~T ( tne undersigned, on oath. Please Print Name
depose and state 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 lo the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE rS^J^ '^L^z-d^ 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
City of Chicago
Aldennan Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|,||,||||l.,lll,l|l|,ll,|l|,l|,|||,|ll|l,.ll|,||,.|ll||l|l||l
II
Status:_ Reason:.
012*001*******5-DIGIT 60640 NIXON, DORIS
5455 N SHERIDAN RD APT 3010 CHICAGO, IL 60640-7442
Claim Number: 1019535
Index Number: 1408203016 1344
Water Account Number: 449454449454
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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:
Aldennan 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
Committee on Finance
Aldennan Edward M. Burke City Hall Room 302 60602 Telephone
Chairman wwwxnmmitleennfinani'e.urg 312-744-3380
February 18, 2011
111 > I -111M1 - l 1111111 -! I h 1111 -11 -111111111111111111 - -1 - -1111 -11
012*001*******5-DIGIT60640 NOWAK, GEORGIANA 5415 N SHERIDAN RD APT 3806 CHICAGO, IL 60640-7401 f>/i&7l£-
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020528
Index Number: 1408203017 1482
Water Account Number: 449444449444
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior 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 it to your ward office before July 1, 2011.
(^^?<r>rg>iA|MtCl NI^LOB (Othe undersigned, on oath, rtease 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 T am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours,
OWNER SiGNATURE_Sff^^^W^ '^fe'tkJ'. DATE ^Jh/JT^y Jl^
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
^8^*228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 i1 ■ (111»" ■1 ■1 ■1 ■ ■ 11 ■ 11 111 1111 m 111.....Ilni'-i'hiiih1
Status:_ Reason:.
012*001*******5-DIGIT 60640 OBRIEN, CHARLOTTE 5555 N SHERIDAN RD APT 1101 CHICAGO, IL 60640-1624
Claim Number: 1010889
Index Number: 1408203001 0000
Water Account Number: 300730728507
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
the undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Chai rman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
016*001 *******5-DIGIT 60660 OMALLEY, PATRICK 6101 N SHERIDAN RD # E APT.#27D CHICAGO, IL 60660-2870
Claim Number: 1021146
Index Number: 1405211021 1100
Water Account Number: 452663452663
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 of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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 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
[the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Aldennan Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
012*001 *******5_DIGTT 60640 OSMANSKI, MARY G. 5555 N SHERIDAN RD APT 1803 CHICAGO, IL 60640-1638
Index Number: 1408203001 0000
Water Account Number: 300730728507
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011027
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
M O- fthe 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 1 am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE'^La^ % ■ lQh^l^ ^Jjc^ DATE 3 ~ 2. 1 (
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
Aldennan Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18,2011
l|iir.u|MM||liri|i|l.M>lniiiMH'-ll<lll
0I6*001*******5-DIGIT 60660 OSTER, BETTY
6145 N SHERIDAN RD APT 30D CHICAGO, IL 60660-6855
Index Number: 1405211016 1100
Water Account Number: 452731452731
MINT
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001584
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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
CSJz /7rAthe undersigned, Please P/inl 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 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 understanri+^n subject to penalties for perjury of falsification herein.
OWNER SIGNATURE /^\fcr^^^ d^^^ 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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_.
Intro. Date:_
lilhlil'"lilllT,,'lliuili'ii'l'illlll'il'lll,l'llhllll11
Status:_ Reason:.
016*001*******5-DIGIT 60660 PALUMBO, ANAROSE L. 6145 N SHERIDAN RD # 8B CHICAGO, IL 60660-2803
Claim Number: 1015056
Index Number: 1405211016 1014
Water Account Number: 300730549888
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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.
ihe 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 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 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 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ili-l-o-lliiiloiililiil-llii-l-'-l-'i-l-lhl'i-'iiOlil
Status:_ Reason:.
012*001 *******5-DIGIT 60640 PANAIT, ROMEO 5030 N MARINE DR APT 501 CHICAGO. IL 60640-3369
Claim Number: 1021220
Index Number: 1408408035 0000
Water Account Number: 4477/744/ili
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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 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
i PANfifT) ROM BO
Please Print Name
.the undersigned, on oath,
OWNER SIGNATURE.
City of Chicago
Telephone 312-744-3380
■ ■ 1111
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022327
Alderman Edward M. Burke Chairman
February 18, 2011
■"1 ■11 -11 -1 -1 > I -11 -1 -11 -1 -111 ■ I -11111 -111111 -11 -11 < 11111
012*001*******5-DIGIT 60640 PARKE, GAIL
5445 N SHERIDAN RD APT 3401 CHICAGO, IL 60640-7481
Index Number: 1408203015 1390 Water Account Number: 449449449449
2011 SENIOR 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 48.
To determine whether your condo/co-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 meets these requirements, you must sign and date this application and return it to your ward-office bertrft July 1, 201
I
Please Print Name
_the undersigned, on oath.
depose and state that I am the apprreant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate propertyspr that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property .rfaxes, and^llojher fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I amysubjeet~t^penalties for perjury of falsification herein.
OWNER SIGNATURE.
DATE
a zzhi
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
Committee on Finance
Aldennan Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201
1111 - -1111111! -1 - -11 -1 h 111 -111111111 -1 -11111111 -1 <1 - 1111111 - -1
012*001*******5-DIGIT 60640 PARSONS, MARY ALICE 5555 N SHERIDAN RD APT 1117 CHICAGO, IL 60640-1643
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020310
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate undet^he Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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 Au<-£ P&<lS&iU*_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 /As, ^C^^n^ DATE ' M , 2^1/'/
V
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
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
(KM752
1111 *1 -11 -1' l11'1 l11 -11111111111111 *'' 1111 - -' l
016*001*******5-DIGIT 60660 PATRYN, EDGAR P 6007 N SHERIDAN RD APT 1 IE CHICAGO, IL 60660-3004
■1111" 111 h"11" 11
For Official Use Only: Ward:_'
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022660
Index Number: 1405215015 1071
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 J have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago. IL 60640
Please do not send it to the Committee on Finance; your aldennan 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:_
HllHlrlllHii"l"i"il"ill-Hl-ihlll"lMlli"lill
Status:_ Reason:.
0i2*001*******5-DIGIT 60640 PEISER, CY
5415 N SHERIDAN RD APT 4111 CHICAGO, IL 60640-7404
Claim Number: 1017125
Index Number: 1408203017 1529
Water Account Number: 300730727948
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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,
J 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, 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 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
Committee on Finance
Aldennan Edward M. Burke Cily Hall Room 302 60602 Telephone
Chairman ww.committeeonfinance.ora; 312-744-3380
February 18, 201
',iiliirl',l,','lirl'i'il"i'llil,'i',',ll,",'lirilli'illi'''
016*001 *******5-DIGIT 60660 PEJOVIC, RADOVAN R. 5855 N SHERIDAN RD APT 12K CHICAGO, IL 60660-3838
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021061
Index Number: 1405403021 1086
Water Account Number: 452710452710
2011 SENIOR 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 48.
To determine whether your condo/co-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 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 understa^M am subjeci-terrenaltreprof perjury of falsification herein.
OWNER SIGNATUl4^^6^k^^Lx^kvt-/EPATE f^E&^ZZ,, Z&f/'
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' 11" 11 ■ ■1'111 ■ 11"1111""11"" 11"1 f111111111111111"1" 1111' 111"1
Status:_ Reason
012*001*******5-DIGIT 60640 PILON, JOYCE E. 5455 N SHERIDAN RD APT 3615 CHICAGO, IL 60640-7448
Claim Number: 1021556
Index Number: 1408203016 1425
Water Account Number: 449454449454
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Cf &Yc£: Pi U 'O the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I 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 I 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
■^8^228
Aldennan Edward M. Burke Chairman
City of Chicago
February 18, 2011
■■-iiinll-iii'-'I'i'lOiM'-'lii'niNNIiTlrl'r1-
016*001*******5-DIGIT60660 POPE, CELINA J. 5701 N SHERIDAN RD APT 4E CHICAGO, IL 60660-4759
Index Number: 1405407017 1111 Water Account Number: 451118451118
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019733
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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:_
iI'i-Ii'-ii-i'-HiiiIm1-!1!11!!-....-11' 11111 j 11 -11 -1
Status:_ Reason:
012*001*******5-DIGIT 60640 POSTERNACK, RUTH 5415 N SHERIDAN RD APT 2606 CHICAGO, IL 60640-1978
Claim Number: 1011677
Index Number: 1408203017 1314
Water Account Number: 300730727931
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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 RyV'Tn, ^. ^gfe.r~TAfiuC-& the undersigned, on oath,
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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111<-11 -11111 - - -1 - - - -111111111 <11mi--11m - i i -11111 r -1111h1111
Status:_ Reason:.
012*001*******5-DIGIT 60640 POSTILION, DIANE D. 5555 N SHERIDAN RD APT 814 CHICAGO, IL 60640-1622
Claim Number: 1020305
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 jOik^-g, Pa? S )~ I 1' p ^ 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, 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 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
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
-||||-Mllllllll--lllll-|l-lll||>|>||||>--i|>ill-f|ITIllll
016*001 *******5-DIGIT 60660 PROCTOR, DONALD T. 6145 N SHERIDAN RD APT 27C CHICAGO, IL 60660-6851
Index, Number: 1405211016 1087 ' Water Account NumTjeTf35T?Trt5'273'l ~ '
Telephone .312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020212
2011 SENIOR 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 48.
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.
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, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE /fi^fr?nJ(('^7/^0^7 DATE 0^J.^J<3to //_
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Aldennan 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 I COPY FOR YOUR RECORDS
'■Si?*'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
I -111! -11 -11 -111 -1111 - i 11 -111 - -111 -11 -11111 -1111 - -1 -111 - -1111 -111
Status:_ Reason:.
016*001*******5-DIGIT 60660 RACHOFSKY, ANNETTE F. 6147 N SHERIDAN RD APT 10A CHICAGO, IL 60660-6833
Claim Number: 1002056
Index Number: 1405211016 1021
Water Account Number: 300730549888
2011 SENIOR 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 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 interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 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 subjecJJo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your aldennan will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I A M K< ETT rr. ft AC H OP'S I ^ Vthe undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
012*001*******5-DIGIT 60640 RAKSTANG, SHIRLEY M. 5445 N SHERIDAN RD APT 304 CHICAGO, IL 60640-1920
Claim Number: 1017903
Index Number: 1408203015 1004
Water Account Number: 300730728 i 25 ■
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
I
.the undersigned, on oath,
Please Print Name
OWNER SIGNATUR
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
illllll-lliihlll-li-ll-llllllll-ll-i-ll-lllliill-ilr
012*001*******5-DIGIT 60640 RAUSCH, EDWARD J. 5445 N SHERIDAN RD APT 912 CHICAGO, IL 60640-7458
Index Number: 1408203015 1090
Water Account Number: 449449449449
-ll-ll1
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022418
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 V. 5£V/1&TJ RAU56H
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR Very Truly Yours Edward M. Burke
DATF. -2-pV-//
ce (/
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
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Mi I-"!-'!!!1!11>-'i i111!!-1 ihi I'iI'-mI i "i MM >l>i i>l>
Status:_ Reason:
016*001 *******5-DlGIT 60660 REGNER, BARBARA M. 5701 N SHERIDAN RD APT 15T CHICAGO, IL 60660-6704
Claim Number: 1018933
Index Number: 1405407017 1499
Water Account Number: 451118451118
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to yaur 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 subjeA to penalties 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 I 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:_
ilh'-'i-h"1!-1 lllrl,llilillillllNiiililMrMilll'lMliilil
Status:_ Reason:.
016*001*******5-DIGIT 60660 RESCH. MARY L. 6033 N SHERIDAN RD APT 27B CHICAGO, IL 60660-3044
Claim Number: 1020578
Index Number: 1405215017 1273
Water Account Number: 452723452723
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llllllillullilillHlurllrlliIMiillrlhlilllllllilllni
Status:_ Reason:.
012*001*******5-DIGIT 60640 RITTENHOUSE, SUNNY E. 5445 N SHERIDAN RD APT 2303 CHICAGO, IL 60640-7470
Claim Number: 1022328
Index Number: 1408203015 1249
Water Account Number: 449449449449
2011 SENIOR 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 48.
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.
/ 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.
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
.the undersigned, on oath.
owner signatur:
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
11 >111111 > 111 > ■1111 ■1' 11 r ■ ■ ■ ■ 111111 ■ 111" ■ f ■ ■ ■ i ■ 11 ■ 1 ■ 1111 ■ I ■ 11 > ■
Status:_ Reason:.
017*002*********3-DIGIT 606 ROBINSON, LORRAINE E. 5733 N SHERIDAN RD APT 28D CHICAGO, IL 60660-8766
Claim Number: 1017126
Index Number: 1405407015 1104
Water Account Number: 300730548175
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
I
the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l,lllIM"ll"ll,llllll"ll,llll"l,llll"lll,lllll,lllllllll,lll
Status:_ Reason:
016*001*******5-DIGIT60660 ROGERS, VIVIAN R. 6147 N SHERIDAN RD APT 23A CHICAGO, IL 60660-2882
Claim Number: 1002044
Index Number: 1405211016 1069
Water Account Number: 300730549888
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 3 J 2-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021555
February 18, 2011
11 - -1 > 1111111111 -1111 - - - -111 -1 i 1111 - - -111 -11 -11 -11111111 -1 -111! 11
016*001 *******5-DIGIT 60660 ROMAIN, LYNN J. 5901 N SHERIDAN RD APT 5G CHICAGO, IL 60660-3631
Index Number: 1405403019 1038
Water Account Number: 452712452712
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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-vn n (i, 8c
\ Q ff) C\ I l^ne 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 subjastto per^al44e5rferperjury of falsification herein.
OWNER SIG 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
«"32?*°228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■ 11 ■111111111.....Iiiil-llil-ll-lillilin"-llil<-l--lll-illli-1
Status:_ Reason:.
012*001 ** * * * * *5-DIGIT 60640 ROMANO, MICHAEL 5100 N MARINE DR APT 16G CHICAGO, IL 60640-3254
Claim Number: 1019942
Index Number: 1408403028 1164
Water Account Number: 449902449902
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
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
undersigned, on oath,
Please Print Name
OWNER SIGNATI
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019545
February 18,2011
■iilill'ilii-l'ii-li'illl-iI'l'xiili-Niliill-'-'li-1-1-
016*001*******5-DIGIT 60660 ROTHSTEIN, GAIL P. 6007 N SHERIDAN RD APT 21D CHICAGO, IL 60660-3005
Index Number: 1405215015 1170
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
erAVsVc^rjie un
jndersigned, on oath.
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 tapes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I und^Cand I am ^whject to^enalties 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 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
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020951
February 18, 2011
(MH77.!
■■l-'-oilllloii-iilMlilOi'ili-ll-'-'I'-lil'-i'lli'ir1-
016*001*******5-DIGIT 60660 ROTHSTEIN, MYLES 6007 N SHERIDAN RD APT 27D CHICAGO, IL 60660-3008
Index Number: 1405215015 1230
Water Account Number: 300730549161
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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 underhand ^ am ^subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
Alderman Edward M. Burke Chairman
312-744-3.380
Telephone
- -11 Vi -111 ■ 111 ■ 11■ 111 ■111 ■ 111 -1■ ■ ■ - - ■ - -11 - > -111 ■ 11 - -11 ■ - ■ -111 -11
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
016*001 *******5-DIGIT 60660 RUBY IRWIN & BERN1CE 5701 N SHERIDAN RD CHICAGO. IL 60660-4771
Status:, Reason
Claim Number: 1003226
Index Number: 1405407017 1013
Water Account Number: 300730548212
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 of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 ^ j£ M '1 ^UVVithe 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 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
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
11' 11 -1' 11' j'1111'1111 h'111111 -''11111111' 11111111111 -'1 [111 > I''
016*001*******5-DIGIT 60660 SAKAMOTO, FUMIYO 6007 N SHERIDAN RD APT 37K CHICAGO. IL 60660-3012
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005594
Index Number: 1405215015 1336
Water Account Number: 30073054916i
2011 SENIOR 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 48. . .
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 $Ui?H*l> ^^^i^ DATE /-? </ ^
7 / ■
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 I COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iil-l»irlilllllTiiillnliiil-il-li-l-l-lnl-l-lllllll-ll
Status:_ Reason:.
016*001 *******5-DIGIT 60660 SAMLAN, EDYTHE 6007 N SHERIDAN RD APT 8E CHICAGO, IL 60660-3002
Claim Number: 1003225
Index Number: 1405215015 1041
Water Account Number: 300730549161
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 JTQVTH£~ ^ fl A/1 /. A fV' 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 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
Aldennan Edward M. Burke Chainnan
City of Chicago
February 18, 2011
i h1^ ■ i < 111 -111 ■ -1 - ■ - ■ -1 - ■ i ■11 -111 ■ - -1 ■ 11111 ■ i - -111 ■ - ■ i1111 ■ -1111
012*001 *******5-DIGIT 60640 SANCHEZ, JORGE H 5445 N SHERIDAN RD APT 1804 CHICAGO, IL 60640-7465
Index Number: 1408203015 1185
Water Account Number: 449449449449
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022648
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IIMli-llllrlii-l-lilliillllllll-lli-lllillill-llhrlll-l-il
Status:_ Reason:.
012*001*******5-DIGIT 60640 SANDORS, JOHN H. 5555 N SHERIDAN RD APT 314 CHICAGO, IL 60640-1616
Claim Number: 1020303
Index Number: 1408203001 0000
Water Account Number: "449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 ^Cj\\^ c^v^^tne undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
DATE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
^iiii.,!,.!.,!.!!!,!!!!,!,!,!!,,!!!,!,,!)!,!!!!,!!!,,,...,!-!
Status:_ Reason:.
012*001 *******5-DIGIT 60640 SANDS, ARLINE 5445 N SHERIDAN RD APT 3304 CHICAGO, IL 60640-1946
Claim Number: 1020000
Index Number: 1408203015 1380
Water Account Number: 449449449449
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
riO.WM
"I'l'iiil'iin'lH'HiHll'i'-'llhllinl'l11!
016*001 *******5-DIGIT 60660 SATO, AYA Y.
5901 N SHERIDAN RD APT 12B CHICAGO, IL 60660-3637
111,1,1,1
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008014
Index Number: 1405403019 1103
Water Account Number: 300730548823
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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 AY A V, SA~f°_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 LJ, DATE "Y ^"//_
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
«!§I^>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
ilili-lll-llllllilnilili'l»li-l-l»Till-nilll-iluilllll
Status:_ Reason:.
012*001 *******5-DIGIT 60640 SBRISSA, JOELLEN ELENOR 5030 N MARINE DR APT 2705 CHICAGO, IL 60640-3392
Claim Number: 1021213
Index Number: 1408408035 0000
Water Account Number: 447777447777
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
.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:_
IHi"IIiii-iIHiiHiH"iiIu-iiiiiiiiiiiIiiIIiIii"i-I"iI
Status:_ Reason:.
0I6*001*******5-DIGIT 60660 SCHAALMAN, HERMAN E. 6145 N SHERIDAN RD CHICAGO. IL 60660-2803
Claim Number: 1001512
Index Nu mber: 1405 211016 1060
Water Account Number: 300730549888
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
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:_
IJIII,!!,!!!!!,,!!,,!,.!!.!!,,),,.!,.!,!,!.,!,,,.!,!!!,,!,!!,!)
Status:_ Reason:.
016*001*******5-DIGIT 60660 SCHMIDT, DOROTHY 5855 N SHERIDAN RD APT 22F CHICAGO, IL 60660-3848
Claim Number: 1007305
Index Number: 1405403021 1182
Water Account Number: 300730548793
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 DORolttj if- Sc^ [\M I b T the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
DATE
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
lnlNI-ll-illll-l-iii-liilliillli-li-hl-lh-l'li-li-llll
0I2*001*******5-DIGIT 60640 SCHWARTZ, BEVERLY 5455 N SHERIDAN RD APT 312 CHICAGO, IL 60640-1919
Index Number: 1408203016 1008
Water Account Number: 449454449454
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021212
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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
e 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 ^U>A^^3<2^A^^~ 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
February 18, 2011
(O.W.i
11 -1111111 j 11111 -1 -1 -11J111 -11 r 111 i - - - -11111 -11 -1111 -1 i111111M i1
017*002*********3-DIGIT 606 SCOTT, STEPHEN T 5733 N SHERIDAN RD APT 15A CHICAGO, IL 60660-8727
Index Number: 1405407015 1049
Water Account Number: 451114451114
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022662
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 unders)^hd I am subject lo jenallies for perjury of falsification herein.
OWNER SIGNATURI ' " "
/■ l^-cy^r DATE Sijxsjll
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
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021223
February 18, 2011
"TiMihih-hlhllhMll'Hlilhllr»lirlllillilliilir
012*001*******5-DIGIT 60640 SECIVREANN, CONSTANTA 5030 N MARINE DR APT 901 CHICAGO, IL 60640-3373
Index Number: 1408408035 0000
Water Account Number: 447777447777
2011 SENIOR 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 48.
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.
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 1 am subject to penalties for perjury of falsification herei/
OWNER SIGNATURE ' DATE
J2 JjLg/H
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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I!1""11" I" I" 111" i"1"I■I"111"111" FI"11" I!"" I
II
||ll|l||ll|l,|
Status:. Reason:
012*001*******5-DIGIT 60640 SEMYON, OIRIKH 5030 N MARINE DR APT 2407 CHICAGO, IL 60640-3389
Claim Number: 1021160
Index Number: 1408408035 0000
Water Account Number: 44//77447777
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 Sf M V oM 0 I 1 ^ ^ the undersigned, on oath,
depose and slate 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 to penalties 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
OWNER SIGNATURE j^.Kvyo
DATE 01 - 2f - 'I
Alderman Edward M. Burke Chairman
February 18, 201 1
City of Chicago
iiilTlll"Mllu-illll»i»,iirhliill-lliil-ilul-lllllli
012*001*******5-DIGIT 60640 SENDEROFF, LOIS 5415 N SHERIDAN RD APT 610 CHICAGO. IL 60640-1943
Index Number: 1408203017 1052 Water Account Number: 300730727931
Telephone 312-744-3380
For Official Use Only: Ward:_;_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017004
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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.
(fit C^&t-U^f
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE p^r^ ^b&khjzr^^ 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
February 18, 201
City of Chicago
-l--ill-ll-l-illl MiMO'iiM'-iiMIiiIi'-i'ii-'i I-ii--iiIiiiiI'1
016*001*******5-DIGIT 60660 MAUREEN D SENESCU 6145 N SHERIDAN RD APT 26D CHICAGO, IL 60660-6851
Index Number: 1405211016 1084
Water Account Number: 452731452731
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001522
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 1 understand I am subject to penalties for perjury of falsification herein.
j9)(lUytJ(^j/_(,yLlJ!>a DATE Q^Aw'f /
OWNER SIGNATUR 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
Commiltee on Finance Cily Hall Room 302 60602 wwwxnmmilteennfinance.rirg
Telephone 312-744-3380
February 18,2011
■I'l'-nni1....."i-'iiIi'i'i"!'^'!!'!-!!!!!'!'!'!!-'-!-!1
012*001*******5-DIGIT60640 SERRITELLA, ANNA MARIE 5455 N SHERIDAN RD APT 303 CHICAGO, IL 60640-1919
Index Number: 1408203016 1001
Waler Account Number: 300730728187
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017312
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
^ fi. I T&L.i- A the undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, 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.
OWNER SIGNATURE
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
.ig2J».228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|,||||,|||ll|ll|,|,|l|l||l|,||l.|.l||lll|l|l,|l|l|||||,l|
Status:_ Reason:.
016*001*******5-DlGIT 60660 SHAPIRO, ARTHUR M. 6007 N SHERIDAN RD APT 24K CHICAGO, IL 60660-3064
Claim Number: 1016716
Index Number: 1405215015 1206
Water Account Number: 300730549161
2011 SENIOR 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 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 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that T am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties 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
.the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1 - M i - -11 m 111 -1 m 1' 111111 r 11111 -1111 11111111 -111111 11 -1 -111
Status:_ Reason:
017*002*********3-DIGIT 606 SHARRARD, CHARLES 5733 N SHERIDAN RD APT 5D CHICAGO, IL 60660-8745
Claim Number: 1005591
Index Number: 1405407015 1012
Water Account Number: 300730548175
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
d \r <r iL \- Ahe undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understar/a I am subject to penalties 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
DATE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_"
Intro. Date:_
012*001 *******5-DIGIT 60640 SHAW, MARIAN W. 5415 N SHERIDAN RD APT 1105 CHICAGO, IL 60640-1988
Status:_ Reason:.
Claim Number: 1020192
Index Number: 1408203017 1117
Water Account Number: 300730727931
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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 ITT) a, ^ r pl-tv LO . $ r\ g,w the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I 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 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
OWNER SIGNATURE ^Tlgriu^ iO JJ^OjjJ
DATE OA ZL>0)l
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
i i m i i 11 ■ ■ ■ ■ i11111111 ■ ■ i1111 ■ ■ i11 ■1111 ■ ■ i *11111111 ■ -1111111 ■ i1 ■ i1
012*001*******5-DIGIT 60640 S1EGEL, YALE H. 5415 N SHERIDAN RD APT 3504 CHICAGO. IL 60640-1986
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015126
Index Number: 1408203017 1438
Water Account Number: 300730727931
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, propertyi taxes, and all other fees, penalties or assessments owed to the City of Chicago have
bject to\rjenalties for perjury of falsification herein.
/!_ DATE_
been paid and that I understand l am OWNER SIGNATURE,
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
Comniitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
MI -' 11111' 111 -111111 -!1 - -11 - -111111111' 11 - -111111 - - -1111' 111 <11
016*001*******5-DIGIT 60660 SILVER, HOWARD R 6101 N SHERIDAN RD # 33B CHICAGO, IL 60660-2870
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004775
Index Number: 1405211021 1122
Water Account Number: 452663452663
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 of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and-all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understar/d I am subject tcj penalues for perjury of falsification herein.
OWNER SIGNATURE J^^^^^fZ. ^_^L<-* 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
City of Chicago
Aldennan Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,,)!!!,!,.!,,!,!,,.!,!!!,!,!!,,!,!,!!!!,!,!,!,!!!!,,,!!,,,!),!!
Status:_ Reason:.
016*001*******5-DIGIT 60660 SIMONS. HELEN P. 6145 N SHERIDAN RD APT 29D CHICAGO, IL 60660-6855
Claim Number: 1016802
Index Number: 1405211016 1096
Water Account Number: 300730549888
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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.
/r?cV?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 to penalties 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
^3^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I -1J111111111111 -11111 - 11M - - M -1111 - >1 - - < 11111111 m - -11111 - -1 -1
Status:_ Reason:.
016*001 *******5-DIGIT 60660 SKEER, FREDERICK M. 5801 N SHERIDAN RD APT 3D CHICAGO, IL 60660-3863
Claim Number: 1000008
Index Number: 1405403022 1056
Water Account Number: 300730548304
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
undersigned, on oath,
Please Print Name
OWNER SIGNATURl
been paid and that I urn
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance Cily Hall Room 302 60602
Telephone
312-744-3380
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
'1111 -' I(' 11111 *' 11 - II -111111111111111' I'I>I'I'1111111'1111111 -11
Status:_ Reason:.
012*001 *******5-DIGIT 60640 SMITH, EDWIN A M. 5100 N MARINE DR APT 26F CHICAGO, IL 60640-6371
Claim Number: 1017019
Index Number: 1408403028 1283
Water Account Number: 300730846251
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I c/i/ f i^A- AA .^>r\ the undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
February 18, 201 1
1 - -1111 -1111 >111 -1M111111111 -1 - >11 h -1 h - -11 -1
012*001 *******5-DlGIT 60640 SMITH, JAMES E. 5455 N SHERIDAN RD APT 2003 CHICAGO, IL 60640-7432
Index Number: 1408203016 1207
City of Chicago
I'tllllllll111-!!
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1004827
Water Account Number: 300730/28187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 jjAMh^ £ . iSKnTrj__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 SIGNATUR Very Truly Yours, \ Edward M. Burke
/^w^ATE Q3l\jl\\
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
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 ' Telephone
February 18, 2011
^lll,,!!!!,!,,,,!,!!!!!!!,!,!!!,!,,!!!,!!,!,,!!!!,,,!,,,,!!,!!,
016*001 *******5-DIGIT 60660 SMUTNY, ARLENE A 6007 N SHERIDAN RD APT 15D CHICAGO, IL 60660-3004
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022661
Index Number: 1405215015 1110
water Account Number: 452719452719
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 of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
NNj 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 SIGNATUR 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward: ■_
Intro. Date:_
■ 111 -11 ■!1 ■1 j i1111111 ■ I ■ ■ i ■ I ■ i ■ 11 ■ 111 ■11 ■ 1111 i I ■ 11 ■ -1111 ■ ■ I ■1111
Status:_ Reason:.
016*001 *******5_DIGIT 60660 SNITE, FAY
6007 N SHERIDAN RD APT 1 IF CHICAGO, IL 60660-3062
Claim Number: 1016717
Index Number: 140515015 1072
Water Account Number: 300730549161
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 MARY ANN SMITH Attn: SANDY 5533 N. BROADWAY AVE Chicago, IL 60640
Please do not send it to the Committee on Finance; your aldennan will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
O'lease Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 00602 Telephone
February 18, 2011
! i hi -1 -1111 ■ i1 ■ - -1 - - -1111 ■ - - < i ■ 11 -11111111 - ■ 111111111 -1111 -111 -
012*001 *******5-DIGIT 60640 SOTER, ELAINE M. 5455 N SHERIDAN RD APT 1412 CHICAGO, IL 60640-1927
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007295
Index Number: 1408203016 1138
Water Account Number: 300730728187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
/JifZ^_the undersigned, on oath.
Please Print Name
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property tav- ' -.' ' -,r asse|rr -sd to the City of Chicago have
been paid and that I understand I cirn it:'jccyo peuaiii, .; ;
OWNER SIGNATURE ^ IAU^X DATE </J < 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
■^2^.228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
iHHHI'MhHHllilllliillilll»-lhlilllHlrilH
i"i
Status:_ Reason:.
012*001*******5-DIGIT 60640 SPATUZZA, JOHN G. 5415 N SHERIDAN RD APT 1204 CHICAGO, IL 60640-1996
Claim Number: 1020233
Index Number: 1408203017 2215
Water Account Number: 449444449444"
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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.
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
ie undersigned, on oath,
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:_
-lil-ililll-l'llNl-lllrl»illlrlMllilMi-lllnlil-i1-1
Status:_ Reason:.
02l*018******MTXED AADC 606 SPIEGEL, RENATE 4501 CONCORD LN APT 404 NORTHBROOK, IL 60062-7167
Claim Number: 1001722
Index Number: 1408203016 1194
Water Account Number: 300730728187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties 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
DATE
2 28
City of Chicago
Committee on Finance
Aldennan Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
.ILII,!!!,,!!,!!,...!,.!!,!!!!,!,!,!.,.,!!.!!.!!,!,,,!,,
016*001*******5-DIGIT 60660 STAKE, ELIZABETH J. 5701 N SHERIDAN RD APT 30T CHICAGO, IL 60660-6718
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019037
Index Number: 1405407017 1514
Water Account Number: 451118451118
2011 SENIOR 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 48.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
I f-L- l^/^r3"£TH <J ST~AKfc-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 ^-^^^^ ^ '^c>,£g)ATE ^ 1 °T ^ ^ °U
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
■^S^^ 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
^ii|iri|>|i|iil'iii|i|iili'|iiT||i>i"ii>iiii>i|i|.||iiiii
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
012*001*******5-DIGIT 60640 SPRANGER, ALBERT W. 5555 N SHERIDAN RD APT 1417 CHICAGO, IL 60640-1637
Status:_ Reason:.
Claim Number: 1018696
Index Number: 1408203001 0000
Water Account Number: 300730728507
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 1, 2011, that 1 am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that 1 am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I arpjsubject 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 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
DATE "? -23 //
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■HI'H'li-HI'-i'-in*....111 -11E i -11111 - -1111 - -11 -1 - -1
Status:_ Reason:
012*001 *******5-DIGIT 60640 STEADMAN, ROBERT G 5445 N SHERIDAN RD APT 2402 CHICAGO, IL 60640-7471
Claim Number: 1021711
Index Number: 1408203015 1261
Water Account Number: 449449449449
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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 /ftAg/£T Gr. -Sy^fl/ft/M/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 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 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:_
I'lriliMi'lH""-'-'^"^"^!!!''!!'!'!'!!''"!!""111
Status:_ Reason:.
012*001*******5-DIGIT 60640 STEHNO, NANCY E. 5048 N MARINE DR APT A6 CHICAGO. IL 60640-3207
Claim Number: 1020527
Index Number: 1408407022 1089
Water Account Number: 447779447779
2011 SENIOR 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 48.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I AV^er^Z-Y ^h^^AJh 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 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
OWNER SIGNATURl
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lii-lll-l-iill-illliiilllll-ll-lhlililillll-liiN-lll-l
Status:_ Reason:.
017*002*********3-DIGIT 606 STEINBERG, ALBERT 5733 N SHERIDAN RD APT 13C CHICAGO, IL 60660-8753
Claim Number: 1001660
Index Number: 1405407015 1043
Water Account Number: 300730548175
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
\ALt£A.T ST&tM&&@£~_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 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
Alderman Edward M. Burke Chairman
City of Chicago
3 J 2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|iiliirhllliiil|ll,i||M||lin|iir||1iillhi1inTM
Status:_ Reason:.
012*001 *******5-DIGIT 60640 STENSON, VIRGILIN 5445 N SHERIDAN RD APT 1210 CHICAGO, IL 60640-7460
Claim Number: 1001776
Index Number: 1408203015 1126
Water Account Number: 300730728125
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
MI -11 -1111111111 -1 ii 11 < 1111 -1111M11 -11 -11 -11 - -1 -1111111-1111
Status:_ Reason:.
012*001*******5-DIGIT 60640 STIEBER, BEATRICE 5415 N SHERIDAN RD APT 1701 CHICAGO, IL 60640-1971
Claim Number: 1011588
Index Number: 1408203017 1183
Water Account Number: 300730727931
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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 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 subjectla[Penalties 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
OWNER SIGNATURE.
■#SSj£>.228
Alderman Edward M. Burke Chairman
February 18,2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:
Status:_
Reason:_
Claim Number: 1011300
■■M-iI'M'-Mi1-liiillli"i-i-ihl--llll--1-',il ■i"ii"l-lllMl-
012*001 *******5-DIGIT 60640 STORMONT, BEVERLY B. 5415 N SHERIDAN RD APT 1403 CHICAGO, IL 60640-1999
Index Number: 1408203017 1143
Water Account Number: 300730727931
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. Tf the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
persigned, on oath,
depose and state that I ami the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject.lo penalties for perjury of falsification herein.
OWNER SIGNATUKrV-<^><,g^-^ - 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 fo 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
- Vii■111■■-11 -11 - ■ ■ 11 - ■ i ■ ■ 11-111■■i■i - - ■ 11 -111 -111 - - - ■ -1■111-1■11
016*00l*******5-DIGIT 60660 STRAUSS, LEON F. 6033 N SHERIDAN RD APT 31A CHICAGO. IL 60660-3048
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020576
Index Number: 1405215017 1320
Water Account Number: 452723452723
2011 SENIOR 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 48.
To determine whether your condo/co-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 L&Obl 4 $T\\(\U SJ>_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 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 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
1111111 r 1111 - -111111111 f i111111111111 -111 -1111 -11111111111 i I - -1 -1
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
012*001 *******5-DIGIT 60640 SUAREZ, MILA C. 5040 N MARINE DR APT B5 CHICAGO, IL 60640-3204
Status:_ Reason:
Claim Number: 1021161
Index Number: 1408407022 1016
Water Account Number: 447779447779
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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. U 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
^§^228
City of Chicago
Aldennan Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1 -1' 1111' * 1111 - -11 h'11111 -11 -111' 11' 111111 -1.....'|"'""'|'
Status:_ Reason:.
016*001 *******5-DlGlT 60660 SUSSKIND, LEATRICE V. 5757 N SHERIDAN RD APT 7C CHICAGO, IL 60660-4751
Claim Number: 1002014
Index Number: 1405407016 1139
Water Account Number: 300730548281
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
.the undersigned, on oath,
Please Print Name
OWNER SIGNATURl
DATE
City of Chicago
Aldennan Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
016*001*******5-DIG1T 60660 SVARC, JASNA
6101E N SHERIDAN RD UNIT 21D CHICAGO, IL 60660-6808
Claim Number: 1021264
Index Number: 1405211021 1076
Water Account Number: 452663452663
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of 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,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that 1 am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, y 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
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
||l||lr||11l1|1l1ll||l||l1||llllrl||M|lr|l1|||||111|rl|l|
Status:_ Reason:.
012*001 ****** *5-DIGIT 60640 TAAFFE, JOHN H. 5555 N SHERIDAN RD APT 1512 CHICAGO, IL 60640-1627
Claim Number: 1011021
Index Number: 1408203001 0000
Water Account Number: 300730728507
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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.
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 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.
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
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■■■-hirl-Xi'nllli-liill'l"^-'!-!!-!'!!'-!!-!!-!'-1-1
Status:_ Reason:.
016*001 *******5-DIGIT 60660 TAUBER, BERN1CE 5855 N SHERIDAN RD CHICAGO, IL 60660-3818
Claim Number: 1004819
Index Number: 1405403021 1027
Water Account Number: 300730548793
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
C/-~S c f% the undersigned, on oath.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 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 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:_
11 -11111 -1 > -11E -111111111 - - 11 - m 1111 - - -1 -(1 - - -111 (111 i1111 -111
Status:. Reason:
016*001 *******5-DIGIT 60660 TIETZ, ANNEGRET H. 6007 N SHERIDAN RD APT 18G CHICAGO, IL 60660-3063
Claim Number: 1020085
Index Number: 1405215015 1143
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 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
.the undersigned, on oath,
Please Print Name
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■ i ■ > 1111, -1, i -111 - - ■, 11, - -, i -11,. i. i ■ i, 11 - -11 -1.
012*001 *******5-DIGlT 60640 TOBIN, FRANCIS X. & NOREEN V. 5555 N SHERIDAN RD APT 909 CHICAGO, IL 60640-1614
...In,
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020300
Index Number: 1408203001 0000
Water Account Number: 449460449460
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 11, 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 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties, for perjury of falsification herein.
OWNER SIGNATURE f^I^llll^W^^^-D ATE /^C^ 3^ £ O //
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
Aldennan Edward M. Burke Chainnan
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1i-il-l-i ■■■ in11!-1! i-i-Ii1! ill1-!!-!!1!! M-l-lili-l---■■
Status:_ Reason:.
016*001*******5-DIGIT 60660 TOLBERT, GENEVA 6171 N SHERIDAN RD APT 1109 CHICAGO, IL 60660-2854
Claim Number: 1019199
Index Number: 1405211023 1105
Water Account Number: 300730550185
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 Qjfg-irVg (/ ft ~Xfl | btf ^Tme 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 j^^r^^-^ ^^^/^-^ DATE^^rV^ /f 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
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:_
r|,|l,m|,l||l,l||,lll|,|||ll|l|,ll,l|||||,|l.,|,ll|,,||||,|||
Status:_ Reason:.
016*001 *******5-DlGIT 60660 TOWELL RONALD G. 6101 N SHERIDAN RD APT 7A CHICAGO. FL 60660-5890
Claim Number: 1023184
Index Number: 1405211021 1017
Water Account Number: 452663452663
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 "^"^ N? 1 G . IqYv/Q ( 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.
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
Very Truly Yours,
Edward M. Burke
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201
llll,,!!!.!,!,,!,!!,,,,!!!!),!.,,,),,,.!.,!!...,.,!).,.!!!,!!
012*001*******5-DIGIT 60640 TRACHTENBERG, SIMON 938 W CARMEN AVE APT. #3E CHICAGO, IL 60640-3225
Index Number: 1408407026 1003
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021554
Water Account Number: 44771744771 / -
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. 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^'tfAUr^' T'RftCiATe.ftJg.gre.c? the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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, thai I am 65 years of age or older, and otherwise qu^fy for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, been paid and that I under/t
y faxes, and all other fees, penalties or assessments owed to the City of Chicago have subjebuo penalties for perjury of falsification herein.
OWNER SIGNAT Very Truly Yours,
DATE ^~Z,g~-?-Dit
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
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
.ii,,,!!!,!,,11,1,1,11,ilii,,!!,,!,,,!!,,,!!!,,!,,!!,,1,11,11,111
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
012*001 *******5-DIGlT 60640 URETSKY, CELIA K. 5455 N SHERIDAN RD CHICAGO. IL 60640-1958
Status:_ Reason:.
Claim Number: 1001382
Index Number: 1408203016 1340
Water Account Number: 300730728187
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 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
Committee on Finance
A Merman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
< ■ rii -1 -11 -1 -1 -1 h 1111 m i1 -1 -11 - - h 11111 r 111111111 -1 m - -11 h - -11 -
012*001 *******5-DIGIT 60640 VAN WERT, JAMES H. 5555 N SHERIDAN RD APT 1108 CHICAGO, IL 60640-1639
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020302
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal 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 J'/t'H^S \J/\tJ \A)tzfcT 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^4<g>v^v \h^T DATE_
Very Truly Yours. \ J
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
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
l-llll,--!li>il-Mllillilli-iiliMlllll----,-ihl-li'nl-l-Mi-rl
012*001 *******5-DIGIT 60640 VARGAS, GLORIA G. 5415 N SHERIDAN RD APT 3008 CHICAGO, IL 60640-1982
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1006193
Index Number: 1408203017 1372
Water Account Number: 300730727931
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
, G.J-Q /LtU (AA fi-£,A-£ the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 201 1, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 QTy^C^ ^V^^^A?f^ ^/^/(/
Very Truly Yours, Edward M. Burke
MAJI/fT^GNED 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
Alderman Edward M. Burke Chairman
Telephone 312-744-3380
February 18, 201
I ■ 11" I - 11111 ■1111111111111 111 ■ 1111"1111"
016*001 *******5-DIGIT 60660 VILCINS, GUNTA M. 6007 N SHERIDAN RD APT 18J CHICAGO, IL 60660-3063
i1 '-i ril II-lull
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020086
Index Number: 1405215015 1145
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 cv°^C7>, W jfU&tb? DATE Fk£<£440/t
r
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
i1 mT1 1 ■ 111 - - ■ 11111 -1111 ■ -11 -1 ■ -1 ■ 11 -1 ■ 111 ■ 11111 ■ 111 - ■ ■ -1 - -1 ■ -111
012*001*******5-DIGIT 60640 VRATNY, PATRICIA R. 5555 N SHERIDAN RD APT 401 CHICAGO, IL 60640-1617
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020295
Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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.
DATE
OWNER SIGNATU 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
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleplione
February 18, 2011
irf.JJfV)1)
11 - - -11 11' i 11111 -111111111 >1 - -11 - M11 -11 -11111 -11 - 1111 -1 111
012*001 *******5-DIGIT 60640 VUSCKO, GEORGE D. 5445 N SHERIDAN RD APT 3311 CHICAGO, IL 60640-1946
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020575
Index Number: 1408203015 1387
Water Account Number: 449449449449
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 I am subject to penalties forjjeriury 0f falsification herein.
OWNER SIGNATURE^^^^q-^? /^^^^DATE ol 3 ^Q. O/ /
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
February 18, 2011
City of Chicago
Committee on Finance Cily Hall Room 302 60602 www.comm itteec mfi nance.c >rg
016*001 *******5-DIGIT 60660 WADLEY, JOANN 5801 N SHERIDAN RD APT 14C CHICAGO, IL 60660-3812
Index Number: 1405403022 1048
Water Account Number: 452694452694
Telephone 312-744-3380
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020152
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
°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 arnsubject to penalties for perjury of falsification herein.
OWNER SIGNATUR
^r^*££^^ DATE -V^^^^-t^ >
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-i-iIi'Iii'iII ii'MI-illl I'll -ll'llii'l'l !■'I"
Status:_ Reason:.
016*001*******5-DIGIT 60660 WAGNER, PATRICIA A. 5901 N SHERIDAN RD APT 14D CHICAGO, IL 60660-3640
Claim Number: 1022292
Index Number: 1405403019 1125
Water Account Number: 452712452712
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I T^T^ s//. l/Oy^^^Z the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 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
DATE <2
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
1111 < 111111 -11111 -11111111111 - -11 -11 -1 - -11111 -111-.....'-it'-i
012*001*******5-DIGIT 60640 WALTERS, JOHN L. 5455 N SHERIDAN RD APT 3602 CHICAGO, IL 60640-7448
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023050
Index Number: 1408203016 1414
Water Account Number: 449454449454
2011 SENIOR 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 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.
I ^- ^A/At-'fe*? $ 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^ualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property t#xes{ and afkother fees, penalties or assessments owed to the City of Chicago have been paid and that I understarra/l'arr^iibj^pt^ro penalties fpj perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours
DATE
3,
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:_
II,,!,!,!,!!!!!,,!,,,.,!!,!!!!,!,)!!!!,,.,,),!,!,.!!.!!.!!,,,,!!
Status:_ Reason:.
012*001*******5-DIGIT 60640 WARD. ALAN J.
5415 N SHERIDAN RD APT 4301 CHICAGO. IL 60640-7492
Claim Number: 1022188
Index Number: 1408203017 1547
Water Account Number: 449444449444
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand! am subject to penalities 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 aldennan will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Rnnm 302 60602 Telephone
February 18, 2011
11 -1 -11 -11 r i -111 > -1 -111 > -11111 - -111 -11111111' -111111 -1111 -11111
012*001 *******5-DIGIT 60640 WE1GAND, ROBERT E. 5455 N SHERIDAN RD APT 2801 CHICAGO, IL 60640-7440
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020574
Index Number: 1408203016 1309
Water Account Number: 449454449454
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: MARY ANN SMITH of Ward 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 properly meets these requirements, you must sign and dale 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 penalties for perjury of falsification herein.
OWNER SIGNATURE
^C^n^W^^^^^r^ DATE Pgaci/^y ^3 , g.o /,
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
Commitlee on Finance
Aldennan Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18,2011
i i - -1 - -11 ■ ■ - ■ 11 -1 ■ i ■ - -11 ■ i11 -111111111 -111111 -111111
012*001*******5-DIGIT 60640 WEINSHEL, BETTY 5555 N SHERIDAN RD APT 405 CHICAGO, IL 60640-1617
I' 111' 1111111
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019561
Index Number: 1408203001 0000
Water Account Number: 449460449460
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
rsigned, 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, 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 under^ar^q I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DATE_^3///
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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
-1 Mi11 -111111 -1111 - f -1 ■ -111 -1111 -11111 -1 -11 -11 ■ -1 -111 -11111 -1
016*001 *******5-DIGIT 60660 WENGER, ANNETTE M. 5701 N SHERIDAN RD # 5-6 CHICAGO, IL 60660-4771
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003152
Index Number: 1405407017 1464
Water Account Number: 300730548212
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 £"X£"Cx>TZ>/^
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undersiancW am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman 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
CHICAGO,; ILLINOIS
STATE FILE NUMBER 2011 0008692
OATE ISSUED
02/10/2011
OECFDENTS\LEGAl NAMF. ANNETTE M .WENGER :
SEX.-. ';-;.
FEMALE'
... DATE OF DEATH
FEBRUARY 01 ,;12pi 1':.
COUNTY OF DEATH . COOK :
age at Cast b i r t h b a y . ; 92.YEARS
date or Ijirth :';. JANUARY 25; .i 919
CiTYQRTOWN
:: CHICAGO
HOSPITAL OR OTHERINSTROTION NAME;
s 5701 N SHERIDAN ROAD ;:£;
PLACE OF DEATH
iv DECEDENT'S. HOME :
: BIRTHPLACE
MiLWAUKEE.WI
S0CIAL.SECURITY-NUMBER
:: 346^09-5388 '/''.
hlARITALiSf ATUS AT. TIME OF DfiATH;
DIVORCED
SURVIVING SPOUSE S NAME;
EVEFTIN U.S::ARMEp:;-FORCES' NQ
RESIDENCE
5701 N SHERIDAN ROAD
APT no ,:.
::6S::
CiTYOR TOWN:: : .CHICAGO ::
INSIDE'0ITY LIMITS? '!' : YES
county:. : .COOK
STATE;:*.*
ZIP CODE ''
60660 : ;
FATHER'S NAME
LOUIS: BUJM
MOT HER'S.NAME-PRIOR TO FIRSt MARRIAGE
MQLLiE PESSIS '■■ ■;.;
INFORMANTS NAME. '
SHARliA BREGER;
RELATIONSHIP
-i: DAUGHTER
MAILING AOOBESS :;:;.
; :2740 W:BIHCrtW.dOD;AVgNLIE. CHICAGO IL. 60645
method of disposition burial' "...
PLACE OF DISPOSITION
.WesiiANN&tiET&y.i MAUSOLEUM ASsWiWf STLAWN
: location cny-OR foyv.N ano-siate M.w,NORRiDGE, IL ' iv''.
OArepF DisppsuiON F.EBRUARY 10,2011.
FUNERAL HOME
PjS.ER FUNERAL SERVICE. 9200 SkQKIE SLVD., SKOKIE, IL.:60077;
FUNERAL DIRECTOR'S NAME;
JOHN C-LIBERATORE
LOCAL REGISTRAR'S NAME DAVID ORP i
FUNERA1 DIRECTORS ILLINOIS LICENSE NUMBER
034011149 _
:PATE.%iiiED WITH LOCAL REGISTRAR ;
:: FEBRUARY 4, 2.011 ;:;
CAUSE OF DEATH ;':'.,.'PART.I. 1,UNG;PANCEFt
■:; immediate:cause
.':': (Final disease i^.cpndrtion':': (esullmg in deattij"'::
.vDue.io^qr.'as a consequence oh;.'
b. BACTEREMIA-;
piie.l!7tof as.a C^sequ'criCja ol)
'■: Due to (tires a consequence 6t^;.\:
PART II Enter Olhdl slgntltoant conditions contrfoMng to death buLnot tesuitinj in the underlying ciuso given in PARTI
WAS Ari'AUTOPSY. PERFORMED? NO
WERE AUTOPSY FINDiNGS USEO.TO COMPLETE-CAUSE OF DEATH'' N/A
010 TOBACCO USE CONTRIBUTE TO DEATH?;
:DATE;OF INJURY
FEMALE PREGNANCY STATUS ■;';;;;; . NOT APPLICABLE
MANNER OFDEATH .; .
NATURAL ■
TIMC OF INJURY :'"/"--: ;:PLACF Or INJURY
INJURY AT WORK?--.
: LOCATION OF INJURY
DESCRIBE HOW INJURY .OCCURRED;
ATTEND THE DECEASED?
$ NQ . %:M 'Ik
: DATE LAST SEEN ALIVE ■;;;
FEBRUApY 01; 2011;
^TRANSPORT Al lONINJUftY. SPECIF*.
WAS MEDICAL EXAMINER OR ;;. CORONER CONTACTED?*. NO'
DATE PfiONOUNCED;
. TIME of death ; : 03;06:PM;:
CERTIFIER -Vi:: PHYSICIAN:
DATE.CERTiFlED
FEBRUARY 03, 2011
NAME: ADDRESS AfcD ZIP CODE OF PERSON COMPLETING CAUSE OF DEATH.
HFRBERTO:HERNANDEZ/-767::^ ILLINOIS,.6p0.35,
PHYSICIAN S LICENSE NUMBER.
036:107210 '■"
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.i :omm i lleeon fi nanee.org
February 18, 2011
i <111 -11 ■ i ■ - ■ 11 - -1111111111111111111 ■ ■ ■ i - ■ i - < - ■ 11 ■ 111 -111 ■ -1111 ■ -
016*001 *******5-DlGiT 60660 WHITE, VIRGINIA M. 5855 N SHERIDAN RD APT 23A CHICAGO, IL 60660-3849
Index Number: 1405403021 1187 Water Account Number: 452710452710
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007873
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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/l/?s*}A/te /U.k)U-}T£
/ 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 City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
DATE //
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:_
.l.l,l-.l|l.l"l||ll,l.|,|rl|l,|,l||l-||.l.|||,||llr|
Status:_ Reason:.
016*001 *******5-DIGIT 60660 WILKE. TONI 6121 N SHERIDAN RD CHICAGO, IL 60660-2878
Claim Number: 1000247
Index Number: 1405211015 1029
Water Account Number: 300109042680
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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_'ToNI t\Jl£.l<Jz._the undersigned, on oath,
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, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties 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
OWNER SIGNATURE
DATE_I
City of Chicago
Committee on Finance
Aldennan Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
I'-'-I'llllI'l'I'l'-'-'-'l1
012*001 *******5-DlGrT 60640 WILLAIMS, LINDA M. 5040 N MARINE DR APT C2 CHICAGO, IL 60640-6321
■'11 h11111"1"1111"" 11 ■""1 ■ 11111"11
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021145
Index Number: 1408407022 1005
Water Account Number:'447779447779
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 I am subject to penalties for perjury of falsification herein.
OWNER SIGNATU,
Very Truly Yours,
DATE
2s
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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
HU.5S50
111 - r - -1111 -1 -1111 - -1111 < 1111111 1111111 -1 -111111111.....i-tI-1
016*001*******5-DIG1T 60660 WINKELMAN, RICHARD 5925 N MAGNOLIA AVE #1N CHICAGO, IL 60660-3303
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020153
Index Number: 1405309014 1001
Water Account Number: 451557451557
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 of Ward 48.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I fcicHVM lA)\ VKel~-MQ fibe 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 f^jc^jj) tO1 (M/j^IzJyUc^K^ DATE " 1-"^> ~ 11 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
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
(102 S3"
i"l,iM"ili'li'ili"""",ir'"ril,irliii''
012*001 *******5-DIGIT 60640 WNUEZEK, ROBERT J. 5455 N SHERIDAN RD APT 3305 CHICAGO, IL 60640-7445
llll
'I'M1
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021553
Index Number: 1408203016 1378
Water Account Number: 449454449454
2011 SENIOR 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 48.
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,
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 olherw4§e qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underst^raTam sufi]ect/o penalties for perjury of falsification herein.
OWNER SIGNATURE-/-^i^t- . UC^~^y[__ 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
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room .'502 60602 Telephone
February 18, 2011
1111' 111MI'11' -1111' I' 11 -1' M1' 111 '11' 1111111'1111' 11111 -111
016*001*******5_DIGIT 60660 WOLFE, LANCE 6007 N SHERIDAN RD APT 16F CHICAGO, IL 60660-3063
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023353
Index Number: 1405215015 1122
Water Account Number: 452719452719
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 taxVps, property taxe\>, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am sub\ecKto/feeti\aliies for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE l^VrcVA' 3,Q\V
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
February 18, 2011
City of Chicago
11'11'' 11' 11'' I'11' I'1111111'11'' 111111111111' * * 11111111111111 *'1
012*001*******5-DIGiT 6064Q
WOFLSON, DEENA I
5048 N MARINE DR APT F6
CHICAGO, IL 60640-3285
Index Number: 1408407022 1094 Water Account Number: 447779447779
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021713
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
f/( l^Jjfj Pz>#f~}\hz 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 been paid and that I understand l) am subject to penalties
OWNER SIGNATURE
, penalties or assessments owed to the City of Chicago have perjury of falsification herein.
Sl 3*
lit
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:_
' -1111' 11 (11 [111' I' 11111111111|lllllllhl'llllllTl
Status:_ Reason:.
016*001*******5-DIGIT 60660,j WOOD, FREDERICK W. /Cu£&> 6101 N SHERIDAN RD UNIT 36B CHICAGO, IL 60660-2870
Claim Number: 1021542
Index Number: 1405211021
Water Account Number: 452663452663
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 if _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 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
Frederick William Wood - Obituary - Chicago, IL - Tributes.com
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Frederick Wood
Obituary
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Frederick passed away on Sunday, January 31, 2010.
Frederick was last known to be living in Chicago, Illinois. He was formerly from Burlington, Wisconsin.
Bill graduated from Burlington High School in 1952 and attended the University of Chicago, receiving a Masters Degree in Business.
He is survived by his wife Ruth.
Funeral services will be held at Schuette-Daniels Funeral Home on Friday, February 5, 2010 at 12:30 PM with Chaplain Larry Williams officiating. Burial will follow at West Lawn Memorial Park in Racine. Relatives and friends may visit with the family at Schuette-Daniels Funeral Home on Friday from 11:30 AM until the time of service.
Expressions of sympathy may be made to the American Cancer Society .
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http://www. tributes. com/show/Frederick-Wood-877703 75
2/28/2011
On
FOR OFFICIAL CLAIM# USE ONLY WARD_
DATE_
. STATUS_ R
APPLICATION FOR SENIOR CITIZENS SEWER CHARGE ANNUAL REFUND JER NAME:_
Last Name First Name M.I.
Apt# .
ZAGO.IL 606^0 HOME PHONE'#: (^73) 74> / _- 7/£. b
-IER BIRTHDATE: ^ ! £-/ (£ 4/
T?g AT.ro TTN7T NT JMBER: */5'£-lp(c3-j/X&b'Z id on water bill)
PERTY TAX NUMB ER: H /^^ / an //£/ t//3# ■
id on property tax bill)
E OF STRUCTURE: <^L)j Condominium Unit
2. ) Townhouse
3. ) Cooperative Apartment
/f/& £>OJ> the undersigned on oath depose and state that I am
3rint name here) -
ipplicant on this application, that I am the owner of record of said real estate property or that I have al or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund ;r Section 3-12-050 of the Municipal Code of the City of Chicago. That all water taxes, property 5, and all other fees^pen'alties or assessments owed to the City of Chicago have been paid and that I Jtstand I am subject to penalties for perjury or falsification herein.
NER SIGNATURE:. _ DATE: c^///^2--^//
_PLEASE RETURN TO YOUR ALDERMAN'S OFFICE BEFORE JULY 1
Aider man Mary Aon Smith 48th Ward
5533 North Broadway Chicago Illinois 60640 ATTN: Ann Felger
TO BE ELIGIBLE FOR THE SEWER CHARGE ANNUAL REFUND
u rnust be 65 years of age or older as of January 1 for the year you are applying;
rxiust be the sole owner, or owner in joint tenancy, or tenancy ui:'tornrnon of the property; u must occupy the property as your principal place of residence;
u must own a townhouse, condominium unit, or cooperative apartment that shares a common water
ree documents must be submitted with your application: You can choose 1 item from each of the lowing lists:
>st recent WATER LL can obtain by ting y.our building don) viii verify the water or assessed account the ...water account r '<-.v>-.i » |
2nd Installment of most recent tax bill indicating you are receiving the Senior Citizen Homestead Deduction; or Copy of the approved application for. the Senior Citizen Homestead Deduction; Or Assessor's Senior Homestead Deduction |
❖ PROOF OF AGE *t* Copy of drivers license ❖ Copy of State LD. card *> Copy of Passport ❖ Copy of Birth Certificate |
i |
|
(A.i».H.D.) Printout. {which you can obtain by calling (312) 443-7550} . |
|
|
-nioc Citizen. Sewer Charge Refund Application must be completely filled out and submitted t Alderman. If you apply by mail, DO NOT send originals, SUBMIT COPIES.
bave any questions, do not hesitate to call this office at (312) 744-9293, and ask for Colleen.
METERED ACCOUNT
Little leaks cause big bills.
City of Chicago
Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330
Customer Service: 312-744-4426
Always include your name, account number, and a call back number, leaks.
' a a You must pay for all
metered water.
CUSTOMER NAME
ACCOUNT NUMBER
BILL DATE
DUE DATE
EAST POINT CONDO 452663-452663 Dec-09-2010 Dec-30-2010
Service Address: 940 W GLENLAKE AVE CHICAGO IL 60660
Summary of Charges for Oct-04-2010 thru Nov-01 -2010
Total Current Water..................................................................................... $ 1457.79
Total Current Sewer.................................................................................. $ 1253.70
Penalty....................................................................................................... $ 0.00
Total Current Charges............................................................................ $ 2711.49
Previous Balance....................................................................................... $ 10055.27
Adjustments............................................................................................... $ 0.00
Payments................................................................................................... $ 10055.27
Total Due................................................................................................ $ 2711.49
Penalties accrue at a rate ot 1.25% per month on late balances.
The Departmeht.of Revenue's Water Division offers a variety of flexibie paymentplaris fpriwater; bills including a special circumstances/hardship-plaafbr
s those who qualify. Avoid Water shut off or have ydurservlce restbredby. entering a plari/.VisIt iis "online br'callusfor more information;-'''■■. «%#$*§«£i-*.!'Sjtft
.v. i-jj. ■ _ . -., . WKSsfc-,'.V -■■i--'--.:5>I.-;JS1:;"k/.vi; - " -^'ifjf^i .:.'SWnJUVvi--':^i H/V^i't^JiX,.-i
Meter Reading Details 1 ooo cubic Feet = 7480 Gallons
METERED UNITS IN THOUSANDS
READINGS PREVIOUS I CURRENT
USAGE IN THOUSANDS ■': Cubic Feet = Gallons .■
ACTUAL or ESTIMATED
Gallons
24657
25384
97.2
727
12305010 0004S2bb30452bfc»3 5 000027114^ 000057114=1 1
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT BY MAIL.
J^Ay^CHECJ<fJHJ^QNEY QRDER-PAYABtE-TO:-------
City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago, Illinois 60680-6330 Service Address: 940 W GLENLAKE AVE CHICAGO IL 60660
ACCOUNT NUMBER DUE DATE
452663-452663
Dec-30-2010
TOTAL DUE
$2711.49
17.1.5263 99976D11.p02
i>llli<lhllii>l'll>»illil'l>ill'"lil>l<lli<i<'l'il'l'iiili'ill
EAST POINT CONDO 6101 N SHERIDAN RD CHICAGO IL 60660-2870
Amount Paid: $
12302010 ann4ci?kuinur,3LLa ^
Cook County Assessor's Office
118 North Clark Street, Chicago. IL 60602
Dear Taxpayer,
We are pleased to inform you that the Cook County Assessor's Office has issued a Certificate of Error which may affect your property t?^-^v^.^ is only the first step in the process. The
Certificate Of Err; . . ' ' " *1"s''""" '" ■ *" -7- ^ "'r-- -.■ ? \:-rX^---^jr:.r£^.L.;.:...
The information! Certificate of Err? original tax bill, f
You will receive! approval, your r| Cook County Trf
Please review tl|
- :1 It is strongly afj
F. W. WOOD 05-88 RUTH K. WOOD
6101 N. SHERIDAN RD E CHICAGO. IL 60560
6291
DATE
PAY TO THE ORDER OF
i a -ICS.
3838
DOllARS Q iW-'C'.
ghe ifthe
mal
MEMO
so? loooo 131:
yy -w /
00 66E5rJqin«3a3fi
Sincerely, ■■-■■--^-
/ydames M. Houlihan L/ Cook County Assessor_
PROPERTY LOCATION: 6101 N SHERIDAN RD CHICAGO IL 60660
DATE: NOV. 19, 2010 CERTIFICATE OF ERROR NO.: 0011388 TAX YEAR: 2009
PROPERTY INDEX NUMBER:
Original Assessed Value: Original Equalized Assessed Value: Recommended Assessed Value: Recommended Equalized Assessed Value:
14-05-211-021-1134
29,944 76,914 29,944 47,113
If payment received or postmarked by:
11/19/2010 - 12/13/2010
12/14/2010 - 1/13/2011
1/14/2011 - 2/13/2011
2/14/2011 - 3/13/2011
Original tax Adjusted Tax payment due payment due
2,363.99 985.10
2.399.45 999.88
2,434.91 1,014.66
2,470.37 1,029.44
Total Original Tax * Total Taxes Paid Original Balance Due
3.558.81 Total Recommended Tax
1.194.82 Total Taxes Paid
2.363.99 Recommended Balance Due *
2,179.92 1.194.82 985.10
* Please note, if the Certificate of Error is denied and additional money is due on the original bill, interest and penalties will be added to that delinquent amount.
I9X
PAYMENT DUE -Adjusted tax, $
Certificate of Error Recommended Tax Bill
Bring entire bill when paying by person. Please do not use on-line checking systems to pay. 12/13/2010
Original tax-due-------------
Amount Paid
Check Dili tun to changS*nuUing>address (where bill is cent) and complete form on bade
2,363.99
Certificate of Error No.:
Property Index Number (PIN)
» Volume
14~- 05 =2T1 - 021 -113*
472
'Write PIN and Volume on check made payable to Cook County Treasurer.
□00Q23b3110 140521102111347 00152 00002311450 00002434110 00002470372
COOK COUNTY TREASURER k wood
PO BOX 4488 6101 N SHERIDAN RD E
Carol Stream IL 60197-4488 Chicago il 60660-287o
14052110211134/0/01/F/D00023b311/2
■ ■ ISSUFD
.■■02-20-03^6!^
EXPIRES 1
RUTH K WOOD
6101 N SHERIDAN RO EAST
CHICAGO IL60660
Birthdate 03-21-34 Female 5'06" 120 lbs Restrictions Type BF ORG
BRN Eyes Class
D
...drivers: :
LICENSE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
',"lllirl,l",l,l',"r"u"i'i"'ll,i',','l,',li'"l,',l'i'i'
Status:_ Reason:.
012*001 *******5-DIGIT 60640 WUNDERLI, ALFRED P 5100 N MARINE DR APT 22H CHICAGO, IL 60640-6367
Claim Number: 1021714
Index Number: 1408403028 1237
Water Account Number: 449902449902
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: MARY ANN SMITH of Ward 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 ACf*£J> F. i*/UV_?>£A£{ the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties 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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:___
1111 * 11111111111'1111111' 11 > -' 11111 <11''1' I' I -' 1111M' 111 -111
Status:_ Reason:.
012*001*******5-DIGIT 60640 YANCEY, LAURA D. 5455 N SHERIDAN RD APT 1604 CHICAGO. IL 60640-7428
Claim Number: 1020661
Index Number: 1408203016 1156
Water Account Number: 449454449454
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand-! am subject to penalties for perjury of falsification herein.
Very Truly Yours, W '
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
:he undersigned, on oath,
OWNER SIGNATUR1
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
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012*001 *******5-DIGIT 60640 ZAH, PAUL
5030 N MARINE DR APT 804 CHICAGO, IL 60640-3372
Index Number: 1408408035 0000
Water Account Number: 447777447777
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021308
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 il lo your ward office before July 1, 2011.
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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 arnaibject to penalties for perjury of falsification herein.
OWNER SIGNATURE, Very Truly Yours, Edward M. Burke
DATE 3 - //
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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
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Status:_ Reason:.
016*001 *******5-DIGIT 60660 ZAKIN, SANDRA L 6007 N SHERIDAN RD APT 12C CHICAGO, IL 60660-3004
Claim Number: 1023354
Index Number: 1405215015 1079
Water Account Number: 452719452719
2011 SENIOR 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 48.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Aldennan 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
DATE.