95 William Beaty.pdf

PDF 75 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 William Beaty (Respondent 95) on September 1, 2026, at 3:22 PM, with a completion time of 3 minutes and 40 seconds. The form is associated with the State of Illinois, specifically the Personnel Standards & Education Division. The requestor is identified as Bill Beaty, a NERIS Program Specialist employed by the state and based at 1035 Stevenson Drive, Springfield, Illinois 62703.

The request specifies an order for 500 business cards to be delivered to the Springfield location. The order type is designated as "New Order" rather than a reorder of existing cards. Contact information for the requestor includes an office number (217-785-1030), cell number (217-973-0195), and email address (william.beaty@illinois.gov). No fax number is provided. The form includes a field for listing changes, notes, or additions, though no specific notes were entered in this submission. No pricing information, contract terms, or vendor details are included in this procurement request form.

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William Beaty 03:40 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.

Personnel Standards & Education

9/1/26, 3:22 PM Business Card Request Form https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 1/3

Name (as appears on card) * 4.

Bill Beaty

Title * 5.

NERIS Program Specialist

Address * 6.

1035 Stevenson Drive, Springfield, IL 62703

Office Number * 7.

217-785-1030

Cell Number * 8.

217-973-0195

Fax Numer * 9.

Email * 10.

william.beaty@illinois.gov https://forms.cloud.microsoft/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZ… 2/3

List of changes, notes, or additions11.

Quantity * 12.

Springfield

Chicago

Deliver to * 13.

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 .