66 Bobby Novak.pdf
PDF 114 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 document is a Business Card Request Form completed by an employee of the Illinois state government. The form is associated with the Boilers Division and was submitted by Bob Novak, who works as a Boiler & Pressure Vessel Safety Specialist. The form was filled out on 10/23/25 and took 12 minutes and 56 seconds to complete.
The request is for a business card reorder with no changes, for 500 cards to be delivered to Springfield. The contact information includes an office and cell number of 2177200782, a fax number of 2177854184, and a government email address of bobby.novak@illinois.gov. The employee's address is listed as 1035 Stevenson Dr, and no specific changes or additions were noted on the form. The order is to reproduce the existing business card exactly as it currently appears.
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Other files
| File | Type | Posted |
|---|---|---|
| 66 Image_Bobby Novak.jpeg | JPEG file |
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Bobby Novak 12:56 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
Image_Bobby Novak.jpeg
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.
10/23/25, 1:17 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 1/3 https://ilgov-my.sharepoint.com/personal/clint_everetts_illinois_gov/Documents/Apps/Microsoft%20Forms/Business%20Card%20Request%20Form/Question/Image_Bobby%20Novak.jpeg
Division * 3.
Boilers
Name (as appears on card) * 4.
Bob Novak
Title * 5.
Boiler & pressure vessel safety specialist
Address * 6.
1035 stevenson dr
Office Number * 7.
2177200782
Cell Number * 8.
2177200782
Fax Numer * 9.
2177854184
10/23/25, 1:17 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
Email * 10.
bobby.novak@illinois.gov
List of changes, notes, or additions11.
none
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
10/23/25, 1:17 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 3/3
File details come from the government source that posted it. Updated .