91 Nicholas Gustafson.pdf
PDF 79 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 Nicholas Gustafson to the State of Illinois on July 13, 2026. The form was completed in 6 minutes and 16 seconds. Gustafson is employed in the Boilers Division and serves as a Boiler & Pressure Vessel Safety Specialist.
Gustafson requested a reorder of business cards with no changes to the existing design. His contact information includes a mailing address at 2536 Yellow Star Street in Woodridge, cell number 217-622-2567, fax number 217-785-4184, and email address nicholas.gustafson@illinois.gov. He selected a quantity of 1,000 business cards for delivery to Springfield. No changes, notes, or additions were requested, as indicated in the form's notes section.
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Other files
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| 92 Ronald Kowalski.pdf | ||
| 92 Ronald Kowalski Example.pdf | ||
| 91 Nicholas Gustafson Card Example.pdf |
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Nicholas Gustafson 06:16 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
Gustafson Business Card_Nicholas Gustafson.pdf
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.
7/13/26, 11:43 AM 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/Gustafson%20Business%20Card_Nicholas%20Gustafson.pdf
Division * 3.
Boilers
Name (as appears on card) * 4.
Nicholas Gustafson
Title * 5.
Boiler & Pressure Vessel Safety Specialist
Address * 6.
2536 Yellow Star St Woodridge
Office Number * 7.
Cell Number * 8.
217-622-2567
Fax Numer * 9.
217-785-4184
7/13/26, 11:43 AM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
Email * 10.
nicholas.gustafson@illinois.gov
List of changes, notes, or additions11.
None
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
7/13/26, 11:43 AM 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 .