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Get Il Cc-85 2016

Claimant vs. Respondent, STATE OF ILLINOIS ) ) ) ) ) ) ) ) Claimant seeks from Respondent payment in the sum of $ for property damage received as stated on the attached statement/narrative of events (with attached copies of bills, receipts, etc.), and made a part hereof as Exhibit A. This property damage has resulted from the actions of the Department, Board, Commission of the State of Illinois. This is a claim in to.

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