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Sorm Preocrlbad by State Board of Accounts Boyce Forms STat8llla. MUDCJ8. In
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
C:,~ FUND
CARMEL IN.. ~li"'\ \ ~Q\
RECEIVED FROM ~,~ ~\fv\~
THE SUM OF 'b~ ~~~ ~\'X"1 ~o ~~~
ON ACCOUNT OF C\~-<S:)\ ~~ ~'N\~, 100
PAYMENT TYPE & AMOUNT ~~ ~.,- ~~~ ~
~ (c.!l $;;;<..0
~
CASH
E.F.T
c.c./a.c.
OTHEP
o
'''I
llElIERAL FORM 110. SS2 (REV. 11871
N~
1669 '
$~G,o,~0
DuLLARS
Receipt . 45041 Port 1
Date : 08-21-2001 Tile 02:03 pI.
Issued By : FB.ICIA WIIJIlIER
ItARY L CLARK
RECORDER
HMILTON COUNTY
Issued To: ~, ~
CITY OF CARREL "J,tct.1VttJ
ONE CIVIC SQUARE
CARttEI., IN 46032 ,,:-
Inst No. Type Description TOTAL
200100052522 CERC CERT CORR 12.00
Alount Due $ 12.00
- Amount Charged $ .00
- Paid by Check $ .00
- Paid by Cash $ 12.00
= Change
$
.00
THANK YOU! "ARY L CLARK
HMILTON COUNTY, INDIANA
Form Prescribed by State Board of Accounts Boyce Forms Systems. Muncie. In.
RECEIPT
HAMILTON COUNTY AUblrOR
GENERAL FORM NO. ssz IREV.I997J
3J:J
N2 52853
NOBLESVILLE IN..
FUND
g/d-/ 2061 .
, . &~
~t;
f!)~ ~ /e>J
~~
~
$/00
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
DOLLARS
100
PAYMENT TYPE & AMOUNT
C-----'
CASH CHEC~
M.O.
E.F.T
C.c.fs.C.,
OTHER
AUTHORIZEO SIGNATURE