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Form Prescribed by Slate Board of Accoimie Boyce Forms Syslems. Muncie. hi.
I \ RECEIPT
~EPARTMENT OF COMMUNITY SER~ES
~
CARMEL IN.,
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
QSNERAL FORM NO. 352 (REV. 1907}
FUND
2-;/5
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2003
PAYMENT TYPE II: AMOUNT -r 0'-nA../
CASH CHECKJ,(jq(fO M.O
E.F.T.
c.c./a.c
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N2
2504
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