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~.. ')1' . I ," ../ '. n ""1'U,.{. .' __, X-/ I' -- ..' ;;; ,/,J / N2 1482 ....1..... .1 . " . . . . . . . . . FOnD Preecirlbed by State Board of AGcouDta Boyce Fo......"'"'"""_ Mw:acla. III r "\ . ..' r...,)' RECEIPT ~ DEPARTMENT OF COMMUNITY SERVICES GlEIIIlRAL FORM 110. III IREV. ItH) FUND RECEIVED FROM THE SUM OF ON ACCOUNT OF ..,-, -. ...( Y..;;.:.I...."..,{ ."",7\_. 1 ~I .,...j) / 1/ t '(;1/' i I' ..t- / . - '" 11/ - J..-.. . ~_., .'. _.-:....,.! ..~....."'\. 1..1. ."'#'~'~ ,bf, .r. , ~ /1..' ,'-I/o-',} . o /j. _J I /2.'('''''' ,/ ~. \,0 t-:L-=::!. / ~-, h...c...,{..l._L.'t.. 20~) / v,"j /) , r~>t.f{..~Y't i/"., ~.P""j/l.tV - 7( '\ ().-) $ If" 1 C .--... CARMEL IN., PAYMENT TYPE 6 AMOUNT .".~.;) td (I r' t' .A .......... Jt.4' .... 'v' .. I! .t:.~ ...jc-- ." ....t. ..r".. AfO ..' \/.' '-';-:J,-::;f!'''--'f)OLLARS I . 100 ... ,i h' ~ t 1>-7'~;e....V!" lJ" .e.;k.(_~{ ;;;;""L!.;0;"~"~~!"G;.'dj,...,i;:L""~'~"il~~~~~../~~"\,~~~Ji'i.!i;ii.i;';,d;;:;i,'t;J.:b,[b;.;i~:~~l.b~>ili'Ji~i~;(!,i~i.~.~, >~':'~"~i,~j~:'~ ::)i:L:;'!~{:;;l:~~.::~~,~ ~;-'.,. .~:,:~}~ CASH '-(.l.i,l"" ,'....... CHEC/C J 'I,;.' i M.O