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					<Name>TESTER TOM</Name>
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					<Name>AL MILD</Name>
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				<RoutingTransitNumber>071109338</RoutingTransitNumber>
				<BankAccountNumber>00000009</BankAccountNumber>
				<PaymentAmount>203.38</PaymentAmount>
				<AccountHolderName>DAN HARRINGTON</AccountHolderName>
				<AccountHolderType>1</AccountHolderType>
				<RequestedPaymentDate>2012-03-27</RequestedPaymentDate>
				<AddendaRecord>
					<TaxTypeCode>
						<FTACode>112</FTACode>
						<StateTaxTypeCode>00</StateTaxTypeCode>
					</TaxTypeCode>
				</AddendaRecord>
				<NotIATTransaction>X</NotIATTransaction>
			</StatePayment>
		</FinancialTransaction>
	</ReturnState>
	<ReturnState stateSchemaVersion="FSETV4.4">
		<ReturnHeaderState binaryAttachmentCount="1">
			<Jurisdiction>IL</Jurisdiction>
			<Timestamp>2012-03-23T13:28:19Z</Timestamp>
			<TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
			<TaxPeriodEndDate>2012-03-31</TaxPeriodEndDate>
			<TaxYear>2012</TaxYear>
			<Originator>
				<EFIN>222222</EFIN>
				<OriginatorTypeCd>OnlineFiler</OriginatorTypeCd>
			</Originator>
			<SoftwareId>22222001</SoftwareId>
			<Filer>
				<TIN>
					<TypeTIN>FEIN</TypeTIN>
					<TINTypeValue>111111110</TINTypeValue>
				</TIN>
				<StateEIN>111111110</StateEIN>
				<StateEINExtension>000</StateEINExtension>
				<Name>
					<BusinessNameLine1>ENGRAVING INC</BusinessNameLine1>
				</Name>
				<USAddress>
					<AddressLine1>1702 SON STREET</AddressLine1>
					<City>QUINCY</City>
					<State>IL</State>
					<ZIPCode>623010000</ZIPCode>
				</USAddress>
			</Filer>
			<ReturnQuarter>1</ReturnQuarter>
			<Form>IL-501 R-12/11</Form>
			<FilingAction>
				<Action>Original</Action>
			</FilingAction>
		</ReturnHeaderState>
		<ReturnDataState>
			<SubmissionId>2222222012083q000034</SubmissionId>
			<StateGeneralInformation>
				<ReturnSigner>
					<Name>ROD JONES</Name>
					<Signature>1234560000</Signature>
					<DateSigned>2012-03-23</DateSigned>
				</ReturnSigner>
				<Contact>
					<ContactName>
						<FirstName>ROD</FirstName>
						<LastName>JONES</LastName>
					</ContactName>
				</Contact>
			</StateGeneralInformation>
			<StateWH/>
		</ReturnDataState>
		<FinancialTransaction>
			<StatePayment>
				<Checking>X</Checking>
				<RoutingTransitNumber>071109338</RoutingTransitNumber>
				<BankAccountNumber>000010</BankAccountNumber>
				<PaymentAmount>647.52</PaymentAmount>
				<AccountHolderName>SIGNS ENGRAV</AccountHolderName>
				<AccountHolderType>1</AccountHolderType>
				<RequestedPaymentDate>2012-03-27</RequestedPaymentDate>
				<AddendaRecord>
					<TaxTypeCode>
						<FTACode>112</FTACode>
						<StateTaxTypeCode>00</StateTaxTypeCode>
					</TaxTypeCode>
				</AddendaRecord>
				<NotIATTransaction>X</NotIATTransaction>
			</StatePayment>
		</FinancialTransaction>
	</ReturnState>
</Transmission>
