Free CCG0093 - Illinois

(This form replaces CCMD-132)

(Rev. 1/12/01) CCG 0093 APPEAL TO THE SUPREME COURT OF ILLINOIS IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

____________ DEPARTMENT, ____________ DISTRICT/ DIVISION

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Plaintiff vs Supreme Court No.: ______________________ No. ____________________________________

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Defendant

I certify that the record has been prepared and certified in the form required for transmission to the Reviewing Court. Dated:____________________________, ________.

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DOROTHY BROWN Clerk of the Circuit Court of Cook County

Received the original of the foregoing, this __________ day of _________________________, _________.

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Attorney for Appellant Attorney Code No.: _______________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS