73 Richard Anderson.pdf
PDF 78 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 submitted by Richard Anderson, a Fire Prevention Inspector with the State of Illinois. The form was completed on February 24, 2026, with a response time of 3 minutes and 38 seconds. The requestor is affiliated with the Fire Prevention Division and is based in Chicago, Illinois, at 555 West Monroe, Chicago, IL 60661.
The order requests 1,000 business cards for delivery to the Chicago location with no changes to the existing design. The requestor's contact information includes cell number 217-685-2915 and email Richaard.anderson@illinois.gov, with no office number or fax number on file. Delivery is designated for Chicago rather than the Springfield alternative location. No changes, notes, or additions were specified for this re-order, indicating the cards will be produced using the existing design from the current business card on file.
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| File | Type | Posted |
|---|---|---|
| 73 Business CArd February_Richard Anderson.jpg | JPG image |
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Richard Anderson 03:38 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
Business CArd February_Richard Anderson.jpg
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.
2/24/26, 3:22 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/Business%20CArd%20February_Richard%20Anderson.jpg
Division * 3.
Fire Prevention
Name (as appears on card) * 4.
Richard Anderson
Title * 5.
Fire Prevention Inspector
Address * 6.
555 West Monroe, Chicago, Ill 60661
Office Number * 7.
N/A
Cell Number * 8.
217-685-2915
Fax Numer * 9.
N/A
2/24/26, 3:22 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
Email * 10.
Richaard.anderson@illinois.gov
List of changes, notes, or additions11.
N/A
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
2/24/26, 3:22 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 .