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Form Prescribed by Slale Soard of Accounts Soyce Forms Systems, Munele. 111.
4~
......
CARMEL IN..
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
PAYMENT TYPE Be AMOUNT
CASH
CHECK; g'fi 3 rJ...
c.c.fa.c
E.F.T.
GlSNERAL FORM NO. 352 (REV. 1907)
(1 ) RECEIPT ( J
';fEPARTMENT OF COMMUNITY SERVit"ES
N2
2138
20 OeZ-.
S( uO
$3 c --
UOLLARS
100
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