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" ~';~;;~';';i~~~'~~~~;t.taf;~r" "'0'. . ""':. "'i:ri"~i"(.',!i:,'~:>;~,,,..,,:,:,:, '."':':: ,":::,;>'.',:. ;::"'::\':<'J "., llEIIERAL' FORIII!O. 1Bz.IRliv.. '..7i' :1 j I ,j j ] ;1 j 1 :if 1564 DEPARTMENT OF COMMUNITY SERVICES /'l . , '. ~,N,.2 \. "'") ~'lJ-.-~..,~ FUND -"C'" ARMEL ,IN.. ('h '. " 1\ -L8i' 20DI ~_ RECEIVED FROM 0 ~ I>:.,^.-" PO,..x L. 0 u.:Jt',LI C\ $ it,'b' c.)~ ~ " ...:. \ , C;:;c."~.,, '. THE SU M 0 F ~ f::. 'Ll S- t'--;, ,)~-u t--\ \::;,:'L-t:-T--S:;::> ~~,,. Q -'Ii:::C;, "'- -:::::nt>LLARS ON ACCOUNT OFV - 7:';; d - ~ \ ~ V - ~-::S-cc, \ ,~ ',:; .) I .I j ') i PAYMENT TYPE a AMOUNT ( - . \"-\ L~ U L."-\ r',\ '- I f"::\ CASH CHECK .:.;,l~75'-~.o, E:J t~ ;Ci """ i '-~ "r'''-'''" ~ .i."...... I' ....,.,.!-\. -f.',:J '... ~ i ;) 1 "'J ! j .i ;1 1 E.F,T. C.C./B,C. OTHER--,.. ~----~ ...........-...........--............. ........ '.^. .' . ~) '.>':. v ,'^~...............~ "- "AV.T..~,O~:~D SI~NAT~RE _ ..,__