67 John Andersen.pdf
PDF 112 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 John P. Andersen on November 4, 2025. The form is used for ordering business cards for the State of Illinois, specifically for the Elevators Division. The respondent, identified as John P. Andersen, submitted this as a new order request with a completion time of 4 minutes and 35 seconds.
The order specifies 500 business cards to be delivered to the Chicago location. The cards will display John P. Andersen's information as Division Manager, including his office address at 555 W. Monroe Street, Office 1300 N, along with his contact details: cell number 312-610-0763, fax number 312-814-3459, and email address john.p.andersen@illinoisgov. No changes, notes, or additions were listed in the supplementary field provided on the form.
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Text version
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John Andersen 04:35 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.
Elevators
11/4/25, 3:35 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 1/3
Name (as appears on card) * 4.
John P. Andeersen
Title * 5.
Division Manager
Address * 6.
555 W. Monroe Street
Office Number * 7.
1300 N
Cell Number * 8.
312-610-0763
Fax Numer * 9.
312-814-3459
Email * 10.
john.p.andersen@illinoisgov https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
List of changes, notes, or additions11.
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
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 .