ORDER FORM FOR

U.S. 34 (FAP 313) Draft Environmental Impact Statement

March, 2002

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:

Joseph E. Crowe, P.E.
District Engineer
Illinois Department of Transportation
Division of Highways, District 4
401 Main Street
Peoria, Illinois  61602
Attn: Paula Green

This document will be available for review on IDOT’s web site until May 31,  2002.

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