HomeMy WebLinkAboutMacaroni Grill ReceiptForm Prescribed by State Board of Accounts Boyce Forms Systems, Muncie. In.
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
FUND
CARMEL IN., 20,'
RECEIVED FROM
P, A OF
--7-4
GZNERAL FORM NO. 352 (REV. 1997)
THE SU ..DOLLARS
100
ON ACCOUNT OF --------
PAYMENT TYPE& AMOUNT
CASH C 14ECK I M.0 T
AUTHORIZED Slql4ATURK
E.F.T C.C./B.0 OTHER-