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Home My WebLink AboutReceipt Form Pt.......1bed by Slate Board or AcClOUIlIs Boyce Forma Sya18Jll8. Muncie. In. OltECEIPT U DEPARTMENT OF COMMUNITY SERVICES d}r; . .;..0 . ,~'--....- FUND CARMEL 1~~-tI:'/ / f ~. 20,0.;7-. RECEIVED FROM L.:)\_;~~,',,' 1" .'C".<-;T-;Z;;{t~/;', THE SUM OF ~;;'r--c.'---- _A!~ < {.~ ..#'~,- e:,;.. ON ACCOUNT OF /6)--COi ;;:;,-P __'--;..7"'<::' . . .....~~" ~ c:><~ .P.h.~~ ...~ (A...<. 1<_.....-1 .....RAL 'ORM NO. 3152 (REV. 19117) <1;:::' -<:__ ,;; v ~I <:::::"_..-:::.~~-~::.. ._..._~ ....-- _. ..:;..,..\ PAYME:NT TYPE a AMOUNT ,XI');;'" .-~,.f CHECI<" ,/ .. M.O. CASH E.F.T c.c.fa.c OTHEP 5CL =--- ;~Y::~l"~~""_~/-;" /-1,r-.........\ ....:..-.- -:UTHORIZED "~~ATURE J N2 2366 $ 7vc..~ c.) DOLLARS 100