HomeMy WebLinkAboutReceipt
u
u
Per... Pr...erlbed by 31C11e Board of Accounls Boyoe Forme 8.,.t...... Muncie. 1D
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
PAYMENT TYPE /II AMOUNT
CASH CHECK C)'::>~4
E.F.T c.c./a.c.
..1-- c....
,-.l~
5;;)-0
L-~ L...,
M.O.
OTHER
~
llBIIERAL FORII NO. sa. tRBV. IU71
N~ 1804
$ '5 (PD.~
UOLLARS
100