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HomeMy WebLinkAboutReceipt ;\ Form Prescribed by State Board of Accounts Boyce Forms Systems M . c\ .- LJ . un e. "'RECEIPT~C J ~EPARTMENT OF COMMUNITY SER~ES GENERAL FORM NO. 382 (REY. 199?) ge/~ra' / N2 2223 FUND CARMEL IN Met /6 c:b\ .,' 20 RECEIVED FROM ~-~('-:_~~"~'''''-'~h'~ ~ 330. 6'0 THE SUM 0 ~<::::.-z;:,.. . ",7 -;;( ./,'" /' ~ ~ I /. o,I--'A~' $ . . .. F ~:~~, _~__",...;.;.>L,,__~'r~r..J2'~-,~').~,~\o....",,?-:.L--- ':r;,.- ",":::'" _ - /" "....COLLARS ON ACCOUNT OF - //0.1-~ 0.';;> ....,.:b'P - w 100 "YMENT TYPE. 'M'!I[\T" ~~ e4--</"-<--'-~ CASH . . \.. ~x.. -:.$ ~~o~-5';'; .5 .:::JoI.b ----""",-~--..---..,..--..l:_.-,';y- / , " -" "'/..:....--, E.F;T _ c;c;fe.c OTHER <..'.. - .~~-:: - ., <o'A~::::'~:'D /'~~ATURE ) j!,.,~;:. -.; .<. ';;)'1: ", ",:(,.-.:~.,.<:,,~,.;;>,,;'~'/:~,'i ";::/';': '-;"<":';""':;'<:',:..:,'., ",', , . .' _.('.;.;_,':\':'~".;': ..: I.,;' ~:: ',,> . ,:...-..'-.....,