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~~~:l.';~;:~V~~~:iB~~~I",,!'f..)~'';''''~':'';''~i:;';~~~h$rU~''W . . DEPARTMENT OF COMMUNITY SERVICES .N~ 1627,.. ./:1' /! I - -," J<" .. '.1 ;K.. ....~, A f .;-' ":'":;-'..i-~/".; J'.,.P .-Qf..-... , FUND ,/r~ ...-'":! ,r'" r; I CARMEL IN.. iI' . &'"'~ ..;;;> ,2oLLL RECEIVED FROM {~ ,L~ II ".";~';'~J~_dl $ '7f1Jf!:i; ". ,. . THE SUM OF .-}&LI.~.4C ';;~d,~fI/U~~--..__._..__._..,-_..,.._--_..._-_.....,_.'-,---:lThu:::A'RS '100 ON ACCOUNT OF l/' - {~' ':'/-0 I '-1- V-?; S'''O / '-'~/. -." '-py,,; ,,~- . ,1"'/ . 4,/" .. PAYMENT TYPE a AMOUNT' i' ." _.tA./~..-:-<- / /,,<.A.:.~.t.~., /...-U..<~~_,~-.".~, /~. "."d'."l. .!/J.- ;-..1 , "...-'/. W. . CASH CHECJb.' './ 0."'/ u:.M.O. ,/ .} 1 ./. '~;r . , i ~-X-4..,,(,J:""", '~:_~."'2rl!_~ ...,d;f-:!' E.F.T c.c./a.c. OTHE~ AUTHO~},.~t!:DSI~URa