In The Circuit Court For The Seventh Judicial Circuit of Illinois Sangamon County, Springfield, Illinois (PelltlOner) Case No. _ vs. (Defendant) SUMMONS IN ADMINISTRATIVE REVIEW TO EACH ABOVE-NAMED DEFENDANT: You are hereby summoned and required to file an answer in this case or otherwise file your appearance in the office of the clerk of this court within 35 days after the date ofthis summons. This summons is served upon you by registered or certified mail pursuant to the provisions of the Administrative Review Law. WITNESS ~, 20_ _. Clerk of the Circuit Court Imllal (Seal of Court) Plaintiffs Attorney (or Plaintiffifnol represented by attorney) Address _ Telephone _ Form No. CV9002-02 American LegalNet, Inc. www.FormsWorkflow.com