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form Prescrlbed br SIat8 Board of AccOUllIs Boyce ForJD/I Systems. MUIlcla. In
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
aEBERAL FORM NO. III (REV. ...71
(1~
NE 1835
FUND
CARMEL IN.. ~ I ~ .2o~1
RECEIVED FROM ~L~~' ~\). h-o' t?~~C!D'L-\") ~ $ S'j Zj7S. C()
THE SUM OF hrnr"",Io.A~ ~-F".}" ~o~ - DOLLARS
ON ACCOUNT OF IS~-oi ~~ )~~~OO'\~~ ~l!\L.Sa-~'ol4,,~
Is<)-ol d. ~ ~ \0
PAYMENT TYPE a AMOUNT
CASH
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