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,.~"'" "'-;. _. _... _. ..<.~-'......."""'" .C".....-...I"... _... __ ..... ....::. '._.' __. .._....._;.'-- ".~ .._......._.,__.;..~_...__.:/..__.,. . '-__-..._.............__.. ..........~.,'_.,...... ..... ... _'~'" _.' .... -'"" .......,..:-..... .,.~._._...~--~....... :........;.,. '''''':-'' ...............-..,..,.-'"::.; Form Prescdbed by Stale Board of Accounts Buorms Systems, Muncie. RECEIPT U GENBHAL FORM NO. 352 (REV. laa7) DEPARTMENT OF COMMUNITY SERVICES ~ . FUND CARMEL IN.. ~,-~) '-12002- ,"",-,<L..' _/ ,t:.v~ :?5/~ RECEIVED FROM ~~-....7~ , ' $':::::. v,/m ~. :--/', ~ THE SUM OF ~~ ~~/J TrY-----.-- DOLLARS ON ACCOUNT OF ' , 1'1--tJ.2 ~iJ?~/ (, ' 100 /1" ' -h PAYMENT TYPE iii AMOUNT,/ .-l.~~/-;?/I./'Y'~.4/ " ' ,,1' . / /6l~'d' /'" //' ~ , clJ;rfCK' , ' '~'7M.O (~-X....(--<.-J~~~~~ , ,'" ,AUTHORlZEOsptATU"!-';,?,, , N! 2082 CASH