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S<>rlll Pr""c::lbed b, Stal. Board of Accounts Boyce Fol'Dlll Sretema. MUDoie. In ".
U RECEIPTU
. DEPARTMENT OF COMMUNITY SERVICES
~' FUND
CARMEL IN.. 2--,1.;<, -5';-' .20!2/-
RECEIVED FROM ~ N~ Sf.? !!,!E3
THE SUM OF (!)u., -#.u<UJlAl-d 7 ~d ~~..t:r-
100
ON ACCOUNT OF S'U -S-~() I) V -~ -0' ) V -7 -0 I
~ ~
llEIIERAL FORI! 110. au IREV. 11871
N~
1444
PAYMENT TYPE & AMOUNT
CASH CHECK h....s~1 M.O.
E.F.T
c.c./a.c.
OTHEP