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Fo'rm Prescribed by State Board 01 Accounts Boyce Forms Systems, Muncll>.' In. GENERAL FORM NO. 3'52 (REV. 1187) ~ - . RECEIPT . ;: UARTMENT OF COMMUNITY SERVIV N~ 2289 'FUND CARMEL IN;, DOLL.:Af(~ /d~1 RECEIVED FROM CS,lVt I ~ THESUMOF ~.~~ ON ACCOUNT OF .' .... .... ..... . (j' &~ 100 'fl1e L PAYMENT. TYPE aA.MOU~..T. .'. .... . '. ~I fa . CAS~ ..... ". '.CH K 7J1. I M;O . '.i.;~oit,:f"" ;;i:8':;1<~j':, ;<~is':~\~:1:}:!.)tt~~;.':~"':(,.,..~:y,~i0~0?':'i;~-,;;j~':-.';,: . . .' .. . . ' . . . . ....... '-" ".-.".' .'. '. /} ":;::i';~:,: .:.::;,.::,~_t~:~~>~,:?:.::~-~<~, .'.~~ ~~~ ii. <.-;i:~; :" ~j;;{:~_:~:'.,,:~.:-f.<~: ~:: ~::~..:;;;~,,:/;._:.~;;/), ':~:~'~:,~ #