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Receipt 06-03-1986
Prescribed hI' Slale Board of AccounlB A.I. DOYCE co.. MUNCIE, 'ND. GENERAL FORM NO. 352 (] ;2 ,- b ~ / ~(e CIT~~~~:~MEL 'B r: ~.0. _ DI;I1ARTMENT OF COMMUNITY DEVELPOMENT ~(L}{.. FUND 3 J - CARMEL. IND.. 19 THE SUM OF ~ ~ D() ( . 100 ON:ACCOUNT OF V,~ ~ · ~:JJ~~~. AUTHORIZED SIGNATURII N~ 20104 ffO $SD. DOLLARS