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Home My WebLink AboutReceipt o u c! FlOrID Prescribed' by State Board of AcCOUAla Boyce POnD8 8'18t.8. MUDCIe. III RECEIPT DEPARTMENT OF COMMUNITY SERVICES 6EIIERAL FORN NO.. an tREV. 18.,.) '.1 .", .,.\ ; .ij "J 'oJ n \,..., ~.1 E;.....~.....'1'!_.c;:,..,'-~_ N~ 1638 200\ '-. '-'-' .' . . . .-..-" .,1--7;;'"7'L~l:f.~ C:,;,\.'iA ",--....J\ , - .:to $'~So .l:)~:-:.) -~~ i ; .j i .I ! \ -.>.::.... ,~.- \ . ~ t-,;..:" 'i;:;...Il.-"i!',r-:;. ,,' '.. I. ..~~.,~.:::.> '!:~:.c~..- -SOLLARS ! . 100 F"', i:::,. 1.i <:::c_'. (""... \ . (""0,. _ .:;, r-'''\.A^lW....." I _~ s;2'" . ~ r~" :; ,,-. .~~., i'-.~. - ~r.~" - (--"- '. . F<.1.~ O:;;~..--\..>. 11 ~. {". i'~ ,~_o".;,.> -.-,._ l. . ~(7' \ ,'. ...... .... , _...~:..: ~" .....~- "":...... ~, M.O ' '-'~""""" ""~joIWo .~.--- . \ . ~ ; /~,,<L~.J"WJ~~~s.~~~~~:':2:.,.:.,,:,::=~~:~.~ii~~~(~fi~~~~i~~'!Ji~;~Ld:;j.,1(,.:";illi"_j Co..:.,;, · 1"'':'.'' i;.) THE SUM ON ACCqUNT OF PAYMENT TYPE aAMouNl' CASH ~il;;.,~~0;i!;~'~,.~;: