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'-, .. _:" :..... ....,. ...._..' .". - _'," '~~.'" '_._ . - - _" ._'_." .'''''.._ - c_ .~,. __":' ~ _, ...... " ~ .... . ~',:, _".. ,_'. .' ",'_' Form Preocrlboclllr Stale Board of Accowlta Boyce Fo..... Bf8!8DUI. MUDCI& III .' ~ECEIPT ...'ii" DEPARTMENt'OF COMMUNITY SERVICES a(Ati /~ c&..- Fti~D (:... ~ Ij I J CAR~EL IN.,.)/' . ~ Lf . _~L?, . _ RECEIVED FROM ,(te.i.,/(jJl/1. ~ ;A&/Zt,fl/~.t;AqL/z_~_,1 '. s /:{ (;,~O. ot) I... fA jJ..)- j J .1 THE SUM OF tJ./Lf...... .'L(}1J.AIi.tl/Z-" -tl/Utv /'d){.",'flC{~.-At~a~.. . DOLLARS c.:- II .-7 I 1 Ii' . Ii'.. ' ,/1'00 / ON ACCOU NT 0 F ~~) t~t ~ ~ - 6 it ~ - J-f - {.,J C,.lj"'T ./1j)t.4:tJJ-7tt'.1/1 r:::i/1!"JO /I (/ \n Pl)' I /J ..!---.. PAYMENT TYPE II AMOUNT f.". ;t~ ~-..%/CJ;~ , {"..I:,;t. ,/~ ) CASH .CHE. C~ .1,/ CC't).:;C(M.....O' . ..,P '. .,j.:LI--, ~l' .) - . iP,U/'rl, (....,.. ..~l.l/fA./' ../ ci~."",.;,~r~V.J~;,;.;.~;:;j..;lli~:J:L~~~;L"i.~i~"~:}~;:;;~.iii;.:~~~:t:~~~~.:::~~~;B:,\i:k;;.:kf~t~.0.iS;g:j;;f:;i,)j~;ll~:~,;;.i,,.,,',.~(.L;"'::,,:~":...:..~"':;:,~"';"',d lIENliRAL IIOIlM NO. ISI IAal/. 111I" N~ 1446 --------