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Home My WebLink AboutReceipt Form Prescribed by Slate Board of Accoun.ts Boyce Forms Syslems, Muncie. In. U RECEIPT c ~ DEPARTMENT OF COMMUNrry SE~CES . . ClaN,I!:RAL PO,RM HO. 3~2 CREV. 1887) ". .- b.--;....e....... .C N~. 2370' ~ FUND , c: if .' CARMEL IN~?-y'V' ~<=, "20 o~ RECEIVED FROM '-:I::~,,/> ~i. ~~-.w"'-7'-'>'-.-J $ Q''''b o. :/ /;..1. ' .. ~~__. _i/' r A.' .' , 'cy."~2/;')/ THE SUM OF~/"-"-''- . .;.'----___.~.c>.--t..A...__/~~c-;;'C'(:~. :/ 0'" C::~.D.OLLARS ON ACCOUNT OF/bY-' cc."-? _-S- ~-'-'~~,;.,;" I~?'-. j!':\ l~'~< \<:::CL. 100 ()~ v PAYMENT TYPE So AMOUNT '?f7J~/ CASH CHECI('~ ~, M.O , L-__ .c.:::~=:~~.~~::~_~_ _. " )/;'~ <---- ''..-::::-~"_...,,.-...1:': .,....,,/.. ;:;....-......-~._.- ~., .........-~.....;-> .....~ "- ./ .,' , AUTHO,l~~ SIGNATUR&;