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_w.....~_~:j~l;_.._:_.tI._..._~..,t.....~,.... .~. ~ ~....--\,'"~:,.._._~ ,', . . Form ;'88C~d by :lale Board of ~~~ ~::~~~~~:: :~~~..~_.-_... ~-, -...... -.- - - -. '0 ,-- " . - . (~\ ..", '" .. ., .."'-.,...-o<'!' _."~''''''~ -_' ......~...... ....... ".. .... GIENaRA&. ,.ORM NO. ,S2 CREV. 19117J RECE,IPT DEPARTMENT OF COMMUNITY SERVICES ~~ ~I / /) /' ') CARMEL IN;, .' 7 - ,pi. 20{) ~ RECEIVED FROM ~~ ~/07;fo THE SUM 'OF \ _.-:r~/ V"---'- - . . . DOLLARS ON ACCOUNT OF UV-:<3~ tJ;? .5 t/-/;tf'O:l 5 U-d-.5.CJ.2 t/-d~o~a;J 1/ ,) I PAYMENTTYPE."AMoUNtI'" v~'}1.{).) ~~. CAS" J.t.'c..z/f?t,(.M.O" ~~. ;:~c5;;;-;:;;;<~;,:;:jJ~:;;::,bi~L;'i,~';;di~;i;:~~~~!i~~~j~;;il",.<;.:.:i,:;~~~~~j'~1~J;i::~~:~ii;\~~~J~i;;~~:'::~:i;~~:'::~'i,;,i,;~"~,~i2i:~..~::;,i..:.:;,;;:::~.<,,.j;':;~)~;' N~' 2022 FUND ,~" .'~ ____~__~ __~___ _______J