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~rm Pr...cdb.c1 by 31aIB Board of Accounl. Boyae U S.,.at"",.. Munci.. In
RECEIPT
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llEHERAL FORII HO. 352 (REV. IU71
DEPARTMENT OF COMMUNITY SERVICES
N~
1582
G~
FUND
CARMEL IN.. ~ cJS-.,20CJ\
RECEIVED FROM CP<"-""""'~ "" - \ "'Au ""~ c'A'L-L- $&~'e:,c;::,
THE SUM OF d'X~N~~~ ~~ 9ou.ARS
ON ACCOUNT OF~-~-O\ -O\~~~ ~-$~~~~
E.F.T
C.C./B.C.
OTHEF>
~ .~~,.,
---
PAYMENT TYPE & AMOUNT
CASH CHECK \ ,q bC5'C M.O.