ORDER FORM FOR

Milan Beltway Extension Final Environmental Impact Statement

May, 2003

Please follow the instructions below for ordering:

1. Use this order form only for the above document.

2. Complete:
   
   

   Company Name: ____________________________________________________

   Street Address: _____________________________________________________

   _____________________________________________________

   (P.O. Box not accepted)

   City:____________________________________ State: _____ Zip: ___________

   Attention: _______________________________

   Daytime Phone: (_______)________________

   Daytime Fax: (_______)________________

   E-mail Address: ________________________

3. Mail order form to:

Gregory L. Mounts, P.E.
District Engineer....
Illinois Department of Transportation,
Division of Highways, District 2
819 Depot Avenue
Dixon, Illinois  61021

This document will be available for review on IDOT’s web site until December 19, 2003.

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