Certificate of (Adopted, Amended, Repealed, or Recodified) Part
The _________________________________________________________________
(name of Agency, Board, Commission or Department)
certifies that the attached hereto is a true and correct copy of:
Heading of Part:
Code Citation:
Sections Involved:
which was duly (adopted, amended, repealed, recodified) by this agency.
Statutory Authority:
Illinois Revised Statutes_____________ _____________
ChapterParagraph
_________________________
Signature of Officer
_________________________
Title of Officer
Ill. Admin. Code tit. 1, pt. 100, app B, ILLUSTRATION C