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Home My WebLink AboutReceipt ,. -.:.... ~ -.. .', ... -. ~ .. . . ,. . ...... ...__.....,u. ..u ." j .'1 j 1 . ~ ;J ) ,j , I I J A Form Preocrlbecl by State Board of Ac:couDta Boyae FonIUI SJltIllll8, Muncie. In IlECEIPT DEPARTMENT OF COMMUNITY SERVICES 8EI!ERAL FoilllllO. IIZ IRE1t.I.1W1 ( C\ . I ,'~~~t....~,,-_ .FUND \., '\:. <-' \ ~ 2 0 (.'~" \ CARMEL IN.. <:-J',,-, t"~)A:~ .,' I - RECEIVED FROM _.~). ~(),~. r'\. ~o (2-,~",".\i!~'}-)c,,,-.~, , . . ;f~'~'-"'~" THE ..sUM OF ~._..J.s.,..... '-~""\C:,I...~r.:r~.' 1'.:::~~"\ ".;',.<> ONACCOUNTOr= <"~.f(.)"C)1 /t"\,~:I"S~) '~'\_>~-I<"":"~, N2 1611 :1 ".'j " ',; ~.'M~ . ;j 'rc;:DOLLARSi . '," too ",' '1 \. ' . r:;'c \ :\ ( ".~. i 1. ,.,.......l-- -.....~. I C.,~ ,~ ',', -.;' '.. _.'-:-" I r'l ,j '-.___.... \' . ...;;:' ,-". \1."""\ \;:, Io.~..,.... "\ . I. I 1 t ~~ 'j (0' .,- ....!J.".......c. ow: ~ "" ~- ...- ..'.:..\ J ,~..,..~~~ tf 1 .-......";..... .::.:.:.~'"-......,:.. -:.... \ '; CASH . . " 'M.O ..'t: :::::.::::~;;:::.,.::Crl (' , ' '" "J\..,:;.,;.;'_._--.:~_.,""__."J dI! ',1 ...., ~-c, ), ,1..,,:,';-::-::' '-W- _ ~-.--: I~ - PAYMENT TYPE a AMOUNT