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Get IL CC-85 2016-2024

Dent, STATE OF ILLINOIS ) ) ) ) ) ) ) ) COURT USE ONLY Claim #: Amount: Claimant seeks from Respondent payment in the sum of $ for property damage received as stated on the attached statement/narrative of events (with attached copies of bills, receipts, etc.), and made a part hereof as Exhibit A. This property damage has resulted from the actions of the Department, Board, Commis.

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