94 Jeff Miller.pdf
PDF 77 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 Jeff Miller, Respondent 94, on July 29, 2026, at 2:01 PM. The form was submitted to the State of Illinois, specifically the Fire Prevention Division. Jeff Miller is a Fire Prevention Inspector employed by the state and based in Springfield, Illinois.
The request is for a reorder of business cards with no changes to the existing design. Miller selected a quantity of 500 cards for delivery to the Springfield location. His contact information on the card includes his name, title (Fire Prevention Inspector), office address (1035 Stevenson Dr., Springfield, IL 62703), office and cell phone number (217-993-2191), fax number (217-558-4992), and email address (Jeff.L.Miller@illinois.gov). The form indicates that no modifications, notes, or additions to the current business card were required, as the reorder option was selected without changes.
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Other files
| File | Type | Posted |
|---|---|---|
| 93 Antonio Gonzalez.jpeg | JPEG file | |
| 93 Antonio Gonzalez.pdf | ||
| 94 Jeff Miller.jpeg | JPEG file |
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Jeff Miller 14:58 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
IMG_1198_Jeff Miller.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.
7/29/26, 2:01 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/IMG_1198_Jeff%20Miller.jpeg
Division * 3.
Fire Prevention
Name (as appears on card) * 4.
Jeff Miller
Title * 5.
Fire Prevention Inspector
Address * 6.
1035 Stevenson Dr., Springfield, IL 62703
Office Number * 7.
217-993-2191
Cell Number * 8.
217-993-2191
Fax Numer * 9.
217-558-4992
7/29/26, 2:01 PM Business Card Request Form https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 2/3
Email * 10.
Jeff.L.Miller@illinois.gov
List of changes, notes, or additions11.
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
7/29/26, 2:01 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 .