HomeMy WebLinkAboutReceipt
o
.^'""
u
~rJZl Prescribed by 31ale Board of Accounls Boyce Forma Syslems. I4w..,... In
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
C~'-- . ..~FUND
CARMEL IN.. ~ ~ .20~ n
RECEIVED FROM O~~~8J4\\~ \. \-C\l...\~ "-.::Jh\L.<-- $~
THE SUM OF ~ ~ ~1~.s.r "'-'P~OlLARS
~ ON ACCOUNT OF ~~-o\-~)::::L~ c.~~~~ -=s...;~~~
~. ~ ~
lIEHERAL FORM 110. 352 IREY. 18nl
N~
1477
OTHER
PAYMENT TYPE 8,. AMOUNT
CASH
E.F.T.
c.c./a.c.