PETITION
We, the undersigned, are requesting that the Personal Needs Allowance, of residents living in long-term care facilities, be raised from $30.00 a month to $90.00 per month.

Name:

Address:
   

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Please return to Calvin Johnson Care Center
727 N 17th St, Belleville, IL, 62226
Phone: (618) 234-3323 - Fax: (618) 234-9477
www.calvinjohnsoncarecenter.com