FREEDOM OF INFORMATION OFFICER
ILLINOIS STATE TREASURER’S OFFICE
400 WEST MONROE, SUITE 401
SPRINGFIELD, IL 62704
Name: ________________________________________________________________
Address: ______________________________________________________________
City: __________________________ State: _________________ Zip Code: ________
Telephone Number: _________________________ E- mail: _____________________
Please provide a brief description of the public records being sought, being as specific
as possible. Is this request for inspection of the public records listed below or for copies
of the requested records?
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Please attach any additional documents to this form.
