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Home My WebLink AboutReceipt FOrlll Pr..cribtidbySlal. Board .1 AccOunla BoYce Forms Syeteins, Mwlcl.. In. Q . RECEIPT. '0 DEPARTMENT OF COMMUNITY SERVICES .CNERAL ,FORM NO.3-52 CREV. 1887) ~,""'~...""~~ / ~. ii"j<'.r?:/ N! 2450 FUND /~j:Z, 20~ ~_'Y~~/' ,.. . -, ,4 RECEIVED FROM "'....L(.CL;z-1~/$ ,.' .' / /5'..J:'1-": f.:". ~ /?;'''~:) .;" "'. ", . /. I (." / $ C/"~. ,-,20 THE SUM OF (cAE /~'A:~",.-~" 't;lt~-';~'~ c:,,(' ~<~ . o;y:~~-;) '-...--- O ..' . . / (? 5 . r. ./.2:;;) ~ ~., -) /. 0 ~ 100 DSLLAR~ --- AL' .N ACCOUNT OF r'.a,=...."(...~,,;:ir'/ r'dC-X -c;c.;)"j' (/ h/o<.-D;2,q,t::> ".?"a.,cr}':'=r~v /'.J. .... !k___,.-1) #63D PAYM~NT TYPE a AMOUNT / ,,:,'.,, / ("'j-'" / I ~J;I-:=t t._/o..'S ""'L. CASH CHEC~X;~..;-,.,' fo/b M.a. P CARMEL IN.. ~,flt.' /7 - --,,: ~ 004'('il.?:> '~__"._.'__" _ .... ~ """, _..c;~......~e-. /' .~t'7-JL . . .......- AUTHORIZED ~lGNATURE , E.F.T. C,C~B.C OTHE~