2129 - Served 2229 - Not Served 2329 - Served By Mail (Rev. 2/7/01) CCL 0040 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS __________________________________________________________ vs. No. _______________________________ __________________________________________________________ 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.: __________________ WITNESS: ___________________________, ________ Name: ______________________________________________ Atty. for: ____________________________________________ Address: ____________________________________________ ______________________________________________ Clerk of Court 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 Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form