)J112O! Serve on: Christopher Will, 6168 Hickory Ridge Road, Pomona, Illinois62975 PROOF OF SERVICEI, the undersigned, hereby certify that a true and correct copy of theAdministrative Citation and Appearance were hand delivered to:Name:__ __ Address: ft1 (U(IS) Sex: Male______ Female______Age:____ Date of service:p( g ,2013.
The facility is known to the Agency as the Pomona/Christopher Will site.
Those hearing costs shall be assessed
inaddition to the civilpenalty fine stated above.
PROCEDURE FOR CONTESTING ADMINISTRATIVE CITATION
Youhave the right tocontest this Citationpursuantto 415 ILCS 5/31 .1.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
... 
