(Rev. 1/12/01) CCG 0093 (This form replaces CCMD-132) APPEAL TO THE SUPREME COURT OF ILLINOIS IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ____________ DEPARTMENT, ____________ DISTRICT/ DIVISION _______________________________________________ Plaintiff No. ____________________________________ vs Supreme Court No.: ______________________ _______________________________________________ Defendant I certify that the record has been prepared and certified in the form required for transmission to the Reviewing Court. Dated:____________________________, ________. _______________________________________ DOROTHY BROWN Clerk of the Circuit Court of Cook County Received the original of the foregoing, this __________ day of _________________________, _________. _________________________________________ Attorney for Appellant Attorney Code No.: _______________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form