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"'", ~:~~~~'::'~;::~:~':~:::D~-:::{,~~:~,:.,.r.~;:c;':""'~":,L;"7' RECEIPT ,..---. , ( \ '..... ':.'""'!'''''~\I/flf.!!lfl'',' , . ~-;~':;''''~','~:_: :~:?:' ~~.' ~}~:l:,'~:..:.~.""":/;"~~~;':;~:~'~':.,-:...:.,~r;::?"~'::7::;.':~ 8EIIERAL FORllllo:aU'CREv..U71 'j j DEPARTMENT OF COMMUNITY SERVICES ~>f..Lji N~ 1549 ,#. ,oIlI"! ,t..... ti>~ $ t.." "S'( ).;~ DOLLARS r.. PAYMENT TYPE 80 AMOUNT ,/, :~t/"'.-(' M.O. 'J' . "",., ,'. .... '*'/-rP C-<"fl-'"J(.-rJt....t.A'.._'" ~~(...4(.dilt...C.I~......~1 AlJTHORIZE~SIGNAT~~ CASH CHECK E.F.T C.C./s.C. OTHEP .j :1 1 'j J 'j 1 .1 :1 :1 :'j .~ :'J "q ] .'~ '4 j , j