Certificate of Assessment Roll (Towns)
(Rev. 3/17/14) CCCO 0103
STATE OF ILLINOIS
ss:
COUNTY OF COOK
CASE NO: _____________________________
I, DOROTHY BROWN, Clerk of the Circuit Court of Cook County, in the State aforesaid (and keeper of the
Records and Files thereof), do hereby certify that the foregoing is a true and correct copy of the Assessment Roll, filed in the
office of the Clerk of said Circuit Court, by the officer appointed by said Court to make the Assessment, together with the Certificate and Statement of the Board of Local Improvements, and the Judgment of said Circuit Court, in the matter of the
application of the ______________________________________________________________________________________
for the Assessment of the cost of __________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
all of which appears from the records and files of my office.
IN WITNESS WHEREOF, I have hereunto set my hand and
affixed the seal of said Circuit Court, at my office in the City of
Chicago, in said County, _________________________________
______________________________________________________
______________________________________________________
Clerk of the Circuit Court
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
Page 1 of 1