VILLAGE OF SOUTH JACKSONVILLE MORGAN COUNTY, ILLINOIS INTERESTED PARTIES REGISTRATION FORM Pursuant to 65 Illinois Compiled Statutes 5/11-74.4-4.2 the undersigned individual or organization states that the following is the correct name of the individual and/or organization and contact person and phone number requested to be listed in the village’s interested parties registry: INDIVIDUAL | ||
Name | Address | |
_________________________ | _________________________ _________________________ | Zip: ____________ |
Phone: ( ) - | ||
ORGANIZATION | ||
_________________________ Organization | _________________________ _________________________ | Zip: ____________ |
Contact Person: _________________________ | ||
Phone: ( ) - | ||
(Ord. 814, passed 5-5-2000)