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Home My WebLink AboutReceipt Form Prescribed by Slate Board of Accounts Boyoe !orms Systems. Munc:le. In, U RECEIPT >, ~EPARTMENT OF COMMUNITY SER~S G1ENERAL FORM NO. 3~2 (REV. "17) b'lLe''l- .."C N~ 2172 FUND CARMEL I~)'~?J: / G . . 20 .Cb< " '. ../'.' ,-,_-? / .\ /1 J / ? .c.-Z' RECEIVED FROM..... ':~~~/.);>t-<;-u: /~'u..<:-c /(c--~I.~~,I/7'-C.-/ $ I .,../ '. 00 /a~' /' .-"''' /. /' . '\11",%,. THE SUM OF CS..' .~/9~~T(..~e.,.-J /-~,-~-~' ~,/",,/...tj..- "':""'0 . ,. A.-<. > ,.A;...)>',-".n .. ,. OLLARS ON ACCOUNT OF cfj{:;-)d, r~ j'5"Odt..5~ cf / !.- 100 PAYMENT TYPE a AMOUNT .. ~a.re7L~,{,,::) ~k?;-~ ~ CASH. CHEC V;:!:/b ~7 M',.O '=-'~'=",-..,--" c::---..... >_"2 )-~ ~ - ~ "---"-",::;:;--~,,,,,"I. ,,/"..> ;'~I/.., '. U,_ C,C~'-B,C. . '-- AUTHORIZED SIGNATURf: