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FOnD Preocrlhed br State Board of Acco1ll1'- Boyce FonDO Systems. Muncie. In
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
llEHERAL FORM NO. In tRa\l. 11"1
THE SUM OF
r?~~
CARMEL IN.. OI;L\ l'l 20 D 1_
RECEIVED FROM '-o...~~~~~~\ c.o"'~l? $&Il,gf).~S
. ~ ~~ '
, ~o ~~ ct,;.\'L ~N.~ ~ll.Q -~ ""-'D~DOLLARS
100
.iL IL ~ ~ ~Q
N~
1740
FUND
ON ACCOUNT OF
l!l.P:.T
e.C.lB.C.
OTHEP
PAYMENT TYPE a AMOUNT
\ ~')~e, \ L-
CASH
CHEC~~'" le e1..- M.O