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~ ,....'.:..,0 .''\...i) , ... F<:>rm Preacrtbed b7 Slale Board of Aocounle Boyce FOnDll Systems. MUDcI.. In RECEIPT DEPARTMENT OF COMMUNITY SERVICES 6EIlERAL FORM NO. 1S2 (REV. II") N~ 1833 ~L-- 2001 RECEIVED FROM ~o~c:::.l IT 2t- ~ $~1 ~f;)s.oa THE SUM OF ~\!lo\o ~\.~a ~\".i ~~~ ~~-&:-~~~ DOLLARS ON ACCOUNT OF , tJ-4-~ 2. CeI1A,t AID a 9 G:, S~. 100 $.}(f)S-. \'\'AYMENTTYPE 80 AMOUNT t t\\1 -6\ t)P\~S c..'M.L - i.\ (' ~~ \SH.T-, CHEC;?~~ M.O \ '\ Coc./a.Co OTH'EP CARMEL IN..