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Home My WebLink AboutReceipt Form Prescribed by State Board of Accounts Boyce For~ System.. Mun e. In. U . ECEIPT, '. D~ARTM · T OF COMMUNITY SERVIC~ GENERAL FORM NO~ 3!52 (REV. Jl87) I J 'FUND 1 J CARMEL IN.. . G!le( '.20C:J?.,..) () j' ~ ~ 0~O~--' J ~:~E~~~ ::OM ~. ~{~~~7--~J.2 '00 :OL:ARSI ON ACCOUNT OF '1:;' - 0.;( J) (J ~~ PAVNENTTYP"'NOUNT . ~c:I I'"L~ ;,(.. Ie-- ,rL/.c&, . ., . CASH CHECK V..' 70...M;O ;:-~~ '_ E.F.~ .. ...... ". ... c.r;:.fs.c . . OTHER . .... . ...AUTHOAIZEDSIGNAT~1; -:.;,'~;;:,1,. ::.1 :~:J~~_'J'>:>;~-,;"{,'{;i,;,~'::-<:':;_'i:~,:)7::'.':': ;:>i>'.;'j ;~,::,:,':'i': '" ,.'u' . ::xL<:~;,;~:t;:~:;,':;-,.(};:LJ::'..~,:......~'.:':"..,:~.,~i,,~'_~;:;;j.D::,:.',U}'3:,~,;,.:'::,_,:~:!).,:~::::: ,,'.':.'...~\;.;,i:_.'.,~,.,. '..~,.;i.~:;'-'...; ...' "". ..:;..:...':>.........,;<.;~.::,...:: ..'" ;.;', ,'- """ """... . ,,: ". ,. -,'. ".." .'-" ". '- - . " , _ _ - ,," _ -- ," ~""~'-';:.:c::.; ~'.t;.2;.~;;:-~.:.i/;.':.\-:.;~.;~::.-~;;:,... ;;';:.;,,'..<.;: :;~};;J:.:.>,-~;~:~~:5~j..~:ji.<~/:;;~ "";:i,;:_:'::~.".;t, ~,:_,,,,,'.',,~,_;,",::'-_'::!. .' .-i~d N!! 2124