§2525.APPENDIX A. Request for Public Records

 

TO:	Illinois Medical District Commission 600 South Hoyne Chicago, Illinois 60612 ATTN:  Executive Director			FROM:
					NAME
					ADDRESS
					AC      /
					TELEPHONE
DESCRIPTION OF REQUESTED RECORDS
Please indicate if you wish to inspect the records identified above or wish to copy them:
Inspect		Copy				Both
FOR OFFICE USE ONLY:
Date Received					Date Response Due

 

(Source:  Amended at 29 Ill. Reg. 20428, effective December 31, 2005)