93 Antonio Gonzalez.pdf

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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

Business Card Request Form Summary

This is a Business Card Request Form submitted by Antonio Gonzalez on July 27, 2026, for the State of Illinois. The respondent is employed by the Boilers Division and is based in Springfield, Illinois at 1035 Stevenson Drive, Springfield, IL 62703-4259.

Antonio Gonzalez, a Boiler & Pressure Vessel Safety Specialist, submitted a request to reorder business cards with no changes to the current design. The order specifies a quantity of 1,000 cards for delivery to Springfield. The requestor's contact information includes an office number of 217-299-8594, cell number of 217-299-8594, fax number of 217-785-4184, and email address of Antonio.Gonzalez@illinois.gov. No changes, notes, or additions were indicated in the form's designated field. The form was completed in 16 minutes and 50 seconds.

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Antonio Gonzalez 16:50 Time to complete

Respondent

Re-order with NO CHANGES

Re-Order, SEE CHANGES BELOW

New Order

Order Request * 1.

processed-66D8FE73-549F-4C8F-8DCE-AD3B15F50E8_Antonio Gonzalez.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.

7/27/26, 3:17 PM Business Card Request Form https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 1/3 https://ilgov-my.sharepoint.com/personal/clint_everetts_illinois_gov/Documents/Apps/Microsoft%20Forms/Business%20Card%20Request%20Form/Question/processed-66D8FE73-549F-4C8F-8DCE-AD3B15F50E8_Antonio%20Gonzalez.jpeg

Division * 3.

Boilers

Name (as appears on card) * 4.

Antonio Gonzalez

Title * 5.

Boiler & Pressure Vessel Safety Specialist

Address * 6.

1035 Stevenson Drive Springfield IL. 62703-4259

Office Number * 7.

217-299-8594

Cell Number * 8.

217-299-8594

Fax Numer * 9.

217-785-4184

7/27/26, 3:17 PM Business Card Request Form https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 2/3

Email * 10.

Antonio.Gonzalez@illinois.gov

List of changes, notes, or additions11.

Quantity * 12.

Springfield

Chicago

Deliver to * 13.

7/27/26, 3:17 PM Business Card Request Form 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 .