HomeMy WebLinkAboutReceipt .NESCRIBED SY STATE BOARD OF ACCOUNTS■OrCE FO iSERB.YUSCl6.IN. GENERAL FORM NO 352 IREV.1997,
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
N° 961
FUND
CARMEL IN., 7 / D
- MONTH DAY YEAR
RECEIVED FROM /yam —���-- $
THE SUM OF DOLLARS
too
ON ACCOUNT OF v — '3 --o0
PAYMENT TYPE&AMOUNT
CASH CHECK. / `5 g M.O.
E.F.T. C.C. B.0
OTHER AUTHORIZED SIGNATURE