Loading...
HomeMy WebLinkAboutReceipt W) u !I .~ .-' ~ Form Pr...crlbed by St1ll8 Board of AcCOUIIII Boyce POrlll8 Syeteml, Muncie. In RECEIPT DEPARTMENT OF COMMUNITY SERVICES 8EIIERAL FORM IUI. UJ (REV. '1I7l c,~ Ng 1730 CARMEL IN" 1.'1 - .20.Q.L RECEIVED FROM IL, 'H-- ~<.cl ~C1,. THE SUM OF 1'\U'iF ~~~ ~ ~ ON ACCOUNT OF I ot)-O\ ~ FUND $5leD.O~_ DOLLARS E.F.T C.C./B.C. OTHEP -~ c-, ~e ~ .. ,"o.mo "o~~" PAYMENT TYPE It AMOUNT CASH CHECI'" Q ~')() M.O