Appendix 1951.APPENDIX A

Ill. Admin. Code tit. 2, § 1951.APPENDIX A

Request for Public Records

AUTHORITY: Implementing and authorized by The Freedom of Information Act (Supp. to Ill. Rev. Stat. 1983, ch. 116, pars. 201) and Section 4.01 of The Illinois Administrative Procedure Act (Ill. Rev. Stat. 1983, ch. 127, par. 1004.01).ILLINOIS STATE HISTORICAL LIBRARY

TO:		FROM:
	FOI OFFICER		NAME
	Illinois State Historical
	Library
	Old State Capitol		ADDRESS
	Springfield, IL 62706


			PHONE NUMBER

DESCRIPTION OF REQUESTED RECORD(S):

Please indicate if you wish to inspect the above captioned records or wish a copy of them:

_____Inspection _____Copy _____Both

Do you wish to have copies certified? _____________

FOR OFFICE USE ONLY:


Date Received		Date Response Due