100 Mike Dade.pdf

PDF 75 KB Posted

Attached to
Release State Use/Facilities for Persons with Severe Disabilities IL|25-416CMS-BOSS4-P-75951
Contract number
25-416CMS-BOSS4-P-75951
Issued by
Illinois

About this file

This is a Business Card Request Form completed by Mike Dade on October 8, 2026, for the State of Illinois. The form was submitted by Michael Dade, who holds the position of Chief Operating Officer within the Executive Division. The respondent completed the form in 4 minutes and 26 seconds, indicating this is a new order rather than a reorder.

The request specifies 500 business cards to be delivered to the Springfield location at 1035 Stevenson Drive, Springfield, IL 62703. The cards will display Michael Dade's name, title of Chief Operating Officer, office number (217-785-0969), cell number (217-836-1656), email (mike.dade@illinois.gov), and fax as N/A. No changes, notes, or additions were listed in the designated field. The form does not include pricing information or vendor details, as it appears to be an internal request form for processing rather than a contract award or purchase order document.

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Mike Dade 04:26 Time to complete

Respondent

Re-order with NO CHANGES

Re-Order, SEE CHANGES BELOW

New Order

Order Request * 1.

Please attach a picture of your current business card with this order. Please mark any changes on the business card or make notes below.

2.

Division * 3.

Executive

10/8/26, 2:43 PM Business Card Request Form https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 1/3

Name (as appears on card) * 4.

Michael Dade

Title * 5.

Chief Operating Officer

Address * 6.

1035 Stevenson Drive, Springfield, IL 62703

Office Number * 7.

217-785-0969

Cell Number * 8.

217-836-1656

Fax Numer * 9.

N/A

Email * 10.

mike.dade@illinois.gov https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 2/3

List of changes, notes, or additions11.

Quantity * 12.

Springfield

Chicago

Deliver to * 13.

https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 3/3

File details come from the government source that posted it. Updated .