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. RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
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CARMEL IN.. 9' "'/ I 20 () 2-- ,
RECEIVED FROM,,;-.;~.A~;:5v~<-4.-J $/'135 tr..)
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THE SUM OF ~~',. ~4-:yJ4).vAA.<u~eI ;'~'~~~Ul:L.AfiS-.._
ON ACCOUNT OF (~~ ~. (hJed~G' ./ b
PAYMENT TYPE & AMoUNT /' I~ 3~{;2;JP ~~5 ,/~ tj-tJ2- 5'fJ ~t7/)
CASH c~ZI.5o,..o. ~~
E.F.T- . CoC./S.C. . OTHER AUTHORIZED SIG~URE
O)nAIVIKUCK BUILDERS, INC.
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