Fillable PO DELETION REQUEST ILLINOIS OFFICE OF THE COMPTROLLER (State of Illinois - Comptroller)

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PO DELETION REQUEST ILLINOIS OFFICE OF THE COMPTROLLER (State of Illinois - Comptroller)

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PO DELETION REQUEST
(COMPTROLLER USE ONLY)
DELETED BY:________________________________________________
DATE OF DELETION: _________________________________________
AGENCY NUMBER: _____________________
OBLIGATION NUMBER (as it appears on SUSF):_________________________
BATCHNUMBER (if applicable):_______________________________________
REASON FOR DELETION:___________________________________________
REQUESTER’S NAME: _____________________________________________
SIGNATURE:______________________________________________________
REQUESTER’S PHONE NUMBER: ____________________________________
DATE OF REQUEST: _______________________________________________
SCO-052 9/2019
ILLINOIS OFFICE OF THE COMPTROLLER
325 W. ADAMS STREET
SPRINGFIELD, ILLINOIS 62704-1871
FAX (217) 782-9151
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PO DELETION REQUEST ILLINOIS OFFICE OF THE COMPTROLLER (State of Illinois - Comptroller)

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Completed 20 July 2020

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