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HomeMy WebLinkAboutReceipt . POrm Preecrtlied bF ~ Bocud of AccoW118 80...... F<maII ~. II=- III . RECEIPT DEPARTMENT OF COMMUNITY SERVICES W' ~ '\ , ,j" ,< ~ IJ . y.~ ~;//'~.~. ~ . />.~)., I I .CARMEL. IN.. ..1 (.it -r- i "'--~".::-'~"" RECEIVED FROM/:::"~' /, .><:< i;~~t. :'7-"'" , (,. /k"'~.". .(.. J, " .f...-,lf\",/::,~ ?() /,) ..>;.~:'l J .; ...,' .. --..... FUND THE SUM OF ON ACCOUNT OF PAYMENT TYPE a AMOUNT ;>1-/ (..,:.-;J':? Id'l."':.) ,,'CAS~ ~HEC~ M.O Ii:.F.T C.C./B.C. OTHEfI ---..1. ,.(...) "UEUL ro..NO. III IREV. n8" N~ 1745 .....-...... \. , / ". 11." .':.'''' I <.......,. "..... I .... .,f.,;,-' .."t....., " ,q .'- .~. {""\._ . () 0 ./ /?-;;t.I'"., '-I...-.......,~ r" c"- q', '--Cu,. ,'1;. ,. /} I') .....". . e-/ J < r~"~ \.'-,"',.,,' "-"-'"?OOLLARS 100 . /1.'" "oi Ci .' I '~~:'-I/,,:"-"'I...../-G\...1 . ":;-';""l.',;(': " ;t:t " ,..) 1<' . I zii "" / -:7'.. or"' ~ tJ . . yo. {." f..=L:: ~) " .......-.~) /i' _ " ,1# . ,/1 /1., " 'f""".; '4!-:~ ~l,\~~'-f......",~ Co';' .i.'.&rf?/ ,:,.,.{ A,....&C..t "..>0-1.- \"'.1' '-,;:..- .~/" /') " .~',!}- ,{.,) '/ .) ~ I. . .:\-;';;i :~l, {;",.{;t.-~f,e . I . I .....!.\..,...-"'-;/ ~. U . AUTHORIZED IIIG1NATURE :j 'j n j !;j '.1 :1 j :J .1 .1 i J I J .1 . .~ J :.;j .j .iA ..j .'~ 1) :;i j "j .! .j .1