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Form Prescribed by Stale Board of AccouDta Boyce Fi"' "'~Y8,lema. MIIIlCIe. III "~J". RECEIPT , . DEPARTMENT OF COMMUNITY SERVICES Q ....>..,<--1' ---.. FUND CARMEL IN.. '('r.\~:,>,J " rC~') ("'1 . RECEIVED FROM \.~.., " ~- '::.(Y' ,- , ..:..,,; ....,:..."!... 8I!III!RAi.. Foa.. 110. an laav. 111'1 N2 1562 '"'--'',''' THE SUM OF \. \\)-\1i)~" ON ACCQUNT OF ~ ~::. ,\:,:, L.. ~:.:~ .,..~\ ).:':"-')(:. {:."-. r.::;:, ""~~"'A_.. f CHECK L~ [?:;~;"[:JM.O .20C~ , ,.,-, ,~~ ., )h. ""'-"1 f (r~O '~,." s ?>SC. ,:)<', k.:,::_,U l~ '~~,(2.T. <;'. \~ \ -;,:;. ,: '\ +'.,.:,.:-:.. ~ !:'->'~'Do-LLARS ''''. ! 100 . 'i }" .,,.\ , <"" "', .,..._.;. ;1 , .i ~F.T c.c./a.c. OTHEP ":':~::::"lT<>/_~""'c:....~: ~}( ....,. ~~:~_-:.~='::~. . ~ (I '" :".,.:,-- V\J'.,\ -r'."......-.--........ ....,.:::,::".," ') <:~~___....:U,~~~)RJZED SIC;NATURa i ',1 I PAYMENT TYPE a AMOUNT CASH __ -.-J