TO : ALL PARTIES CONCERNED
RE : AC 04-75, IEPA v. Charles L . Parker
Pursuant to the March 16, 2006 Interim Opinion and Order adopted in the
above-referenced matter, attached please find an Affidavit of Costs incurred
by the Board as a result of hearing .
March 22, 2006
DMGIme
Attachments
Dorothy M. Gunn
Clerk of the Board
IN THE MATTER OF :
)
ILLINOIS ENVIRONMENTAL PRO C
ON)
AGENCY,
)
)
V .
)
CHARLES L. PARKER,
)
Respondent.
)
Complainant,
Pollution Control Board Costs
:
Hearing Officer
$
0
Court Reporting
Total
$251.00
ILLINOIS POLLUTION CONTROL BOARD
March 16, 2006
$251.00
AFFIDAVIT OF COSTS
I, Dorothy M. Gunn, Clerk of the Pollution Control Board (Board), state that the
below-listed Administrative Citation costs, incurred by the Board as a result of hearing in
the above-captioned proceedings, are true and accurate :
AC 04-75
(IEPA No. 221-04-AC)
(Administrative Citation)
Dorothy M. Gunn, Clerk
Illinois Pollution Control Board
Subscribed and sworn to before me this 22nd day
of March 2006 .
OFFICIAL SEAL
SANDRA L WHEY
Notary Public
- State of I
MY Commission Expires Jon
UInois
18, 206i
E
SUBSCRIBED AND SWORN TO BEFORE ME
THIS 22ND DAY OF MARCH 2006 .
I
OFFICIAL SEAL
SANDRA L WILEY
Notary Public
- State of Illinois
My Commission Expires Jan 18, 2009
PROOF OF SERVICE
I, DOROTHY M. GUNN, do state that I have this 22nd day of March
2006 served the attached Affidavit of Costs upon the persons listed below, by
placing same in envelopes addressed to said persons, first class mail, postage
prepaid, and depositing same in a United States mailbox located at 100 West
Randolph Street, Chicago, Illinois 60601 .
Charles L. Parker
Michelle M. Ryan (VIA MESSENGER MAIL)
217-1/2 S. Sangamon
Special Assistant Attorney General
Lincoln, IL 62656
Illinois Environmental Protection Agency
1021 North Grand Avenue East
Springfield, IL 62794
PAYMENT OF INTEREST MAY BE
AVAILABLE IF THE STATE FAILS
TO COMFY WITH THE ILLINOIS
PROMPT PAYMENTS ACT, 30 ILCS
540
REF DOC :
SUBA: 70100
SUB SUBA :
BLANKET OBL#: PCBCTO6BO9
,pproved for Payment
STA7E OF ILLINOIS
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DISPOSITION OF COPIES
I .Cornintroller
2-Agency
3.Agency
4.Remittance Copy
5 . Agency
S.Agency
73elained Ey Vendor
w
rom-FULLU I I UN UUN I KUL
3UAKU
ENVIRONMENTAL PROTEC
- 11
eI( (b
baud
I
2. Taxpayer Identification Number 12a. TIN Type
L
364139741
i
3. Vendor or Payee
ASAUSKAS LORI ANN
1_Zbl
F
uuLluub
l-_ZlU
4. Voucher No .
5- Voucher Date
16 .
Appropriation Account Code
0 91
-532 7LO-01,22DOO
Invoice Numbe
r
-i-a514
Invoice Dace
12-09-05
Certification of Receiving Agency
I certify that the goods or services specified on this voucher
were for the use of this agency and that the expenditure for
such goods or services ,was authorized and lawfully incurred,
that such goods or services meet all the required --unclards eel
forth in the purchase agreement or contract to which this
voucher relates; and that the amount shown on this voucher is
correct and approved for payment_ If applicable, the reporting
requirements of Section 5-1 of An Act to create the Bureau
of the Budget and to define its power and duties and to make
an appropriation', approved April 17, 1969, as amended, have
been met
(Date)
Agency Head (Signature)
36293
10. Give Complete Description of Articlas/Ser,icc5
Rendcrod
or
11
1
.Quantity
Attach
linrlized Vendor Invoice
112. 1-Inits
13-Unit Price
1 4.Amount
_
CONTROL
# /VENDOR INVOICE #1INV DATE /DOC
0000007948/13514
/12-09-2005/1266
LA REPORTING
$251i.o(
11302005 11302005 5700
TT
POLLUTION CONTROL BOARD
QwJRT REPORTING SERVICES FOR CASE AC04-75 ON 11/30/
5
NOT SUBJECT TO CONTRACTUAL WITHHOLDINGS .
'S. Exp . Obj .
19. Exp. Amount
15 .
Subtotal
25100
1266
r!7
~Am~n.
L
is,
22 .
WQxicin
No.
?310
0 Payment Am
Discount
$25-1
Deduction
17.
1251Z
Total
Amount
LOT.tal Exp .
2& Total Payment Amount
_
I R Qnr Ropnrv
Use Only
29 SOUTH LASALLE
SUITE 850
CHICAGO
STREET
IL 60603151
