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Form Pr......_ II!' State Board of AccowIII Boyce POl'lDl S78181118, NUIlcle. III
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
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GENERAL JOn NO, au tREY. '117)
N2 1815
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FUND
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RECEIVED FROM ~l-'-l "^- u,~L- '\-4~.5
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THE SUM OF C\u~ \:asu..~~ ~,...s~ I~
ON ACCOUNT OF 14 ~-~ \ ~A - ~"2-€t- ~oo
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CARMEL IN..
$ ~Oo.~
DOLLARS
CASH
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PAYMENT TYPE a AMOUNT
CHECrc
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C.C./s.C.
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