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F..... Preacrlbed by Stot. Boord of ACQaIlllI8 Boyce Forms $yBt8lllll. Mwel.. In. U RECEIPT (J DEPARTMENT OF COMMUNITY SEIm'CES aKNIlRAL FORM NO. 382 tREV. 1887) ..--- Cfi-'" /)r". .r, / Ng 2387 FUN.D CARMEL IN.. '" /)r?"''C-: '-...3 /7 '.." c../e- ~~..~!"r~"'" ,.." J'L 20 C(::~. ti/ """'.,,,,,_' (_ .Lee .,,"...," .,' ') <'( c."':' ". r. ) " . S....:; ;:,/ _.t,~:> , . ~,;i ~> ;z ~-;'/ " ,.........~. ',' .,....., $ -- '.' ~ '-'-,,,~ :." RECEIVED FROM THE SUM OF ON ACCOUNT OF ..t..... .--;?(:.,-,. [L" ~( 0'-"- ."" (". "..., " -_ J DOLLARS 100 /"'~,.;I_. - '''''={". ~".:;;"" f' ~ /, L_ '- ".' t::..,)..... ___, ..r.;') /'/-,; I~ ," ::: ~~;/ PAYMENT TYPE III AMOUNT ..,-" '.---._~6'" (~", ......: >-- ,,' ;. '.. "-".'" CASH CHECK~',t:<<:''';!~- M.O. r-...... ....>.:.:;::::.:.::.:::.~.~::~ra:_..~:;t... ~~~.." .....:~>.:.~-.':,::-'.r{ ~~... '~" . -' AUTHORIZED 91~NATURE -.. E.F.T C.c./B.C OTHER , ~..J