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Document health_mcleancountyil_gov_doc_97c4f7f253

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Eleventh Judicial Circuit County, Illinois Plaintiff/Petitioner vs. Case Number: Defendant/Respondent NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING Pursuant to Illinois Supreme Court Rule 138, the filing of a court record at the time of filing shall include a Confidential Information Form which identifies the full social security number for any individual whose social security number is redacted within the filing. This information shall not be available to the public and this document will be stored in a separate location from the case file. Party/Individual Information: 1. Name Address City, State, Phone SSN: 2. Name Address City, State, Phone SSN: 3. Name Address City, State, Phone SSN: Attach additional pages if necessary