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Home My WebLink AboutReceipt 1 Porm Prescribed by Slate Board of Accounts Boyce l'orms Syetems. Muncle. In. '" RECEIPT /- YPARTMENTOF COMMUNITY SERV~S OKNItRAL- FORM NO. 8'2 tREY. - 19871 (~'7U!":"<'(~ _ FUND / . --~ CARMEL IN"LJ'lo ~ 20 &.3 RECEIVED FRO~~,g "lce,,'.! .-r:C~f ': t.'.' d ~- / c::::.:."". ...fi..(...-,,~,., ~''--'. .~. /., './". (~..... ..'.' ;/-.~' '_<.."' . . ;.l.A.~_~,/ ;'" ON ACCOUNT OF 1)'1- oa. A M..s . A::::~~l ~I ' PAYMENT TYPE a AMOUNT .. _..,:,~::a>:,/i-.,,-,....__ ~::-~...,=~:.-~' CASH . CHECX" /~!rg; M;O N2 2424 f25!.- $ ~..s-~__ c::y'2';r:; .-<:::::: . ';.('b:. -l1'6LLARS . .. 100 THE SUM OF C--'~ ~"'''' v,~j... .1--...... ___........ _'" ......._...._.._..f'"....__. ...,,~_ r..1 ' - - .~... .....,),- ~-< ' - ......+- ,- ',. - "- /' . / Auf!iORIZEO SIGNATURE .' '\ \..,.....~... E.F.T .c.e./B.c OTHER