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',": "'" ".'< ,:' . ,''":''.'.!'"'''' '::'",".~ '......':. "".. ':'"' '..' ...." !,~,,':",,~'''''''.~.''''. /1 . U8IriAL FORII KO;SB2 (REV.. 11171 ' . "'/ij . :- .~ ! 1 '.:~ ,,1 .,.:;1 ':ij ~] .':~ . ~ .I ,,;4 ..,~ "'J .:...~~ '1 ,:','.l '.;1 u u ':T":""~:"_:_r:~~!_:.'.f'~~:'.;"'7(";:', 'c' /~,~_:::'~,~:-:,~;,,::-;'ff.r:!~'0.,;:!P:":: ". ';.':,t,'~.~.'!",,>:_~,;.::t~~'/~._'-:.;~_'.~.!-~.:~,~:.'-r::.{l 't:--..:~, . :', "-=::7.;-::"':~'. '-':,::';"~,~-7" 'f ~\ ,:'-:~.1, ',:~ ; ,_'t"'~~".~.:.:<":~" ,~, r:.r"r:;':i":r'7'!~r N~ 1672 FUND CARMEL IN.. c:.~ ..' "'2. f ...f --'" ,2001 RECEIVED FROM /:~' " ~... .I . . ~. ;.~. ~ .t?___.",/ .r!-"("f'.~ ..' .~_ J' ~"'W $ .,-; tr.' ("i-;7"';'~:j ~' ~ " .J "" .;-.;1 ...,. THE SUM OF ON ACCOUNT OF /.. '" ;" /. ~ . .1', -...t'... ---- .,/.L.r .A.....e:~4...__.. ~.1".(.<'!..-'~.,v~ , C:'9-,j/-t) ;!f II> {:~~"(' {/ PAYMENT TYPE 8l AMOUNT ,- I' 'v: // ~... '0(, CHEtit . ~ l 7 M.O. c.c./a.c. . OTHEP CASH /;/1 . ....~;/ ~1' 1.,_..I;1...-A.....tII'~~/....--y. _.t....'-:& AUTHORIZE SIGNA"gh ,;,' /j E.F.T ---~