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'-'~'+".,-"".~~,,---"'--'-- .._.+......_-~_._.._.'+._. ...".. . "'.""~ . -~....-' FOnD Preicrlbed br Sti:de Board of Ac.COUllllJ BOCDnDI Systems, MUIlde. In RECEIPT U DEPARTMENT OF COMMUNITY SERVICES GENERAL FORII No. UIIRRV. .1871 THE SUM OF ,ON ACCOUNT OF . pi t? .~,/.,Le/-<~ FUND ,. CARMEL. IN.. c:; -- ~ 0 .20 () / RECEIVED FROM~" (IJ'<!~A_A~Z;;;.L-r'., ~ .:!- Jl _ j / .....;-;..I'.,c".V'-I ~A..t# ._ 73 ,.() IS f' N2 1616 C'" .-. p.c.I . ....".1 {a U~ ...------.-.,--.--..--..::==-eGbLA.RS.....- ." ...-; .I \00 ~...,,./ ;/-~~- PA YMENT TYPE & AMOUNT """ CASH CH~CJ(' ~ \\ E.F.T c.c./a.c. OTHER M.O