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HomeMy WebLinkAboutReceipt ForIDPrllll~'biStat.i: BoGrdbfAcCotiilt811o,..;.Fori'AiSYBtiDlui.KUla...e;1D ',' .'.;, . U 'RECEIPT (.) DEPARTMENT OF COMMUNITY SERVICES ~':..NIlRAL: ,"OIlM, ....... -...._ _____ r: ~-" ~., . /) ~:~ ~'-'-.'.'<-'~' . - '. N2 2293 20 CJC:< - - "7,/.' ('le-/ ( f' RECEIVED FROM~:)/r(':~~~"~<;;'/ <_..1&-;;, Zu,_.y~ t.!/___'~L cC'''''" ':'ci~"""-(., $ .:5'1. (';'() THE S. UM OF s=--=. ;- ~ /..c~.n.. ..[~'" /Y::c...-,.l~;{;7 8>-..( c.:,/ ~/2/:::::;,? '-., .. ' . / q.' '/ :"( 7"''':. .:.DOLLARS ~ ~ / / . ON ACCOUNT OF ' ~c>I-c'Q) -< ioo CARMEL IN.. .FUND e[e .f" oj/ PAYMENT TYPE III AMOUNT ,,,l/ t? /7[:" C;;~:/ e CASH V ~",,"7,L?~ CHECll21- M.O. ~;';:;;:;:=-.~,-_.- C' ....,/ (.... /,-.;y(J'''''' .'-:'<::/'<'/?~ .::....---- AUTHORIZED >SIGNATURE E.F.T C.C./D.C OTHER