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Home My WebLink AboutReceipt l Fo_ Preec:rlbed by StOle Bo'ard of AcaoUD18 Boyce Forms SjatllllUl, Muncie. !D. U RECEIPT U DEPARTMENT OF COMMUNITY SERVICES ..NaRAL 'ORM NO. :ssa CREV. I De7>> Ge /)c-=' rt::lj N! 2372 CARMEL IN., FUN.D //1: J r.::2 / ' a,J:;.~-:'r-' 20~ RECEIVED FROM '_... /', .<"~',.. .:~'I ":';> ,..' \ ~.I!;;; U. O~ $ ~ / ,./~.' / ,. C ," /"(~ 9/""" ?,:",~, ". ..~.'--~r'-~"~ ; f...:"--:.l -..,:c_ .' " ~ 9' ~'~. ro' ~, ,~ / DOLLARS 100 170 - 0';;;' /1 ..(.)( J A "/}e ;7,,/ C',} /' -'J ,'--"'" " A.~, /'... --/71'(/ c'(C-e..~___,... .< G, PAYMENT TYPE a AMOUNT '" /' '-- CASH CHEC,l'Iy!0,t,3 M.O. -~--'-,'-" C,,~,.~~:::,~.-::;;;.., j--" .-\..<.". <.- 6,1 " __ " '0 E:F.T. c.c.fa.c OTHER .:..~.,/' ./ " AUTHORIZED SI ',ATURE \ ,. -.. \. '. - . THE SUM OF ON ACCOUNT OF "'~::..0>l..:\-- ,