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Home My WebLink AboutReceipt Form ~Ucnbedby Stille 8~ti llfACt:oWit.8o.Y'.... Forms Sy&!e..../Mua.....ID.. ..... . ............. . -< ,', . .' .. RECEIi>>T....W ,U DEPARTMENT OF COMMUNITY SERVICES ........... . --.-. N2 2260 /7 . ( ~/~[.et../ FUND CARMEL IN.. ~>>f/6 20~ / ," \ RECEIVED FROM;rJ~t:.A-"'"'~lk-J ~:7 . </' THE SUM OF../-.;k-..~~..~~j5.,-~ ON ACCOUNT OF . ,,0.::;-, o~ A0.4,::S '7-' d"~~z> (' --'---. "- - -- .-----.... :. .- $ Yt1(). ,-'''' DOLLARS 100 PAYMENT TYPE a AMOUNT CASH CHEC[ 7' c...if E.F.T c.c./a.c OTHEFI ,.......... " .- <:::::--" ~ --.' f-~ -~..?7"e, ~"-, V AUTHORIZED SIGNATURE M.O.