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AC 09-39 status call exhibits 08/13/2009
Handle: Document-66034
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Thursday, August 13, 2009 05:01:20 PM CDT
Thursday, August 13, 2009 05:02:03 PM CDT
Modified By: Brown, Don (User-14, brownd:DocuShare)DS
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  • ILLINOIS ENVIRONMENT )
PROTECTION AGENCY )) Complainant, )) v.
  • )
AC 09-39 ) (IEPA No.
  • Donald R.
  • Sapp RE: Mr.
  • Donald R.
  • Sapp
R.R.1,Box64 29321 Dutch Creek Road DOB: MC#: 5-308-286 1957-8-26 Rockport, IL 623 70-3046 Dear Mr. Date and time of Injury or Illness: / ‘ c7 /3c Z’ Ii. 1/) / 3 ./p(. Øi) JA -r / r ‘_ it,’l/ -‘J /2 i4k’ A-L). f 6/f’_ 4v i fJia-.i. /-‘t 1’,) Z’ J4-&.2
  • .
/W.. F t4’ 4 •1.T4”/) jft 1frj rr 4 14. Patient Balance Si-iOW AM...
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Adobe Portable Document Format (.pdf) - application/pdf
09081311731.PDF
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994933
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Appears In: AC 09-039
Preferred Version: 09081311731.PDF