2129 - Served 2229 - Not Served 2329 - Served By Mail IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
(Rev. 2/7/01) CCL 0040
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vs.
No. _______________________________
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SUMMONS IN ADMINISTRATIVE REVIEW
To each defendant: YOU ARE SUMMONED and required to file an answer in this case or otherwise file your appearance in the office of the clerk of this court located in Room 801, Richard J. Daley Center, Chicago, Illinois, within 35 days after the date of this summons. Atty. No.: __________________ Name: ______________________________________________ Atty. for: ____________________________________________ Address: ____________________________________________ City/State/Zip: _______________________________________ Telephone: ___________________________________________ CERTIFICATE OF MAILING On ___________________________________, ________, I sent by registered mail a copy of this summons to each defendant addressed as follows: Defendant __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Address _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Dated: _______________________________________, _________ _______________________________________________________ Clerk of Court DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ______________________________________________ Clerk of Court WITNESS: ___________________________, ________