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"..'C.I.CO IY ITATa BOARD OF ACCOUJf1'S BOyel PO... nan... .val:l_. ... ORNERAI. FORM NO. JII f..y. te." RECEIPT DEPARTMENT OF COMMUNITY SERVICES NO ~ FUND 35-00 Sf' - CARMEL IN.. t \ 25'"""1 Q~ RECEIVED FROM ~:=.:-:..(~ THE SUM OF ~-,.Je..,___ ~ .--- ~ ',\ ~'r Ua.....p ~c.... l S'o 03 \ 3 s- O{)sf> ' 649 sS:oo ~ ~OLLAR.s 100 ON ACCOUNT OF PAYMENT TYPE a AMOUNT CASH CHEcd \ ~ M.O. (:../).4-1. -d 1 r AUTHORIZED 51 ATURS E.F.T e.c/B.t'! OTHEP . . '" .~. .......:,-..~....-;....;..,.~;..~ ,'.. .... .,..., .... ""-'!o<. .;. ':'. ....: -;,.-:..~"'~;':';':.':.~:-'.::'-:-:J~~::-':"':.:':~">"-~"*-:::"l:-*:t~.~:~r~~:~x.:.~~~:;t:~~.~-:..:,-.::::::S;':~~~~~:~~~~~~~~~~~. . . . . .:.T....:: ;:..