Loading...
HomeMy WebLinkAboutReceipts Form Prescribed by Staie Board of Accounts Boyce Forms Systems. Muncie. In. ? . / t' U RECEIPT ~LJ . . DEPARTMENT OF COMMUNITY SiJroiCES GItNER.AL FORM NO. 352 CREY. 18911 ~lCl'-&f. / N~ 2205 ~ FUND CARMEL IN;, ~."'f,Y..<y ? 20 DO:<, RECEIVED FROM ""7~~~::':,,, ,'-tZ~ : .J / .. . - ';;;:..(-d""I:;. / THE SUM OF/~.".r;~--:-cr, ^ t:/D ON ACCOUNT OF' ~7 0--- (::;";..;2), Sty "'==--::::::'::"-:::::~-:-'.. . --......- DOLLARS ...--_G> $ /} (). 00 'I ,,:::~..... . . : ..' ... _.~.-y-- t PAYMENT TYPES. AMOUNT. -{/.,~.(>t;''::-''_7'''''''''' /'--~,-, \//<")'" "l . (/ CASH CHECK\~ '-- .?....; M;O , "':~:';~;}_"'Y>>"-<"7':.::::::"9~:'. .J ~-' AUTHORIZED SIGNATURI!: E.F;T' , <:~C./B.C. ,.,.....::.,..-.,,-,.. . ,; '.", ':.;i~'~';: ';i,-~'/.:':.;ti.i.:.."',/..\~ ;:'.~'. -.:::",.~, .:.~:::;:: ;," OTHER ',,,, . -'.: "'" ,,' , .,.' - -"" ' ". ,". '''' -.. ;:~J'i:;<~,.;.:;,,~.-;i;~>:SiJ:,':, :: ,.~:.:.~'j~i2.~'~~~L(';,;/::;:";;,~':,;, .:: .';.,i:~:'; ;'~, ',' ";:':'.~ ,;' ':i.:i,:':" ;.;-!-\:)i;.;;~'~~;:;:L;i\;> \"" ...;.: ~.,:::;\.:,;,,.;,D,<' .,;,..';",:<""" ;'"':"',i).,,''';'.v.,, _. . Form Prescribed by State Board of Accounts Boyce Forms Systems. Muncie. In. ( ~') RECEIPT / .. 'MPARTMENT OF COMMUNITY' SERVI~ .' GENERAL FORM NO. ;:11:::,,1: .no...... "__ ~~f N~ 2169 I ( I' FUND . -1~/3 027 20_ / ".4..' 1'; .. RECEIVED FROM t/~f~ .i't;;C,:-:' L"--1{'ff/JU-<~_ THE SUM OF ~ f~A~--;Z~ ON ACCOUNT OF 7/1 '0)" .:::;,tJ ~. .'.J.~.~~~;; U/;a~~.' "lr..ld~~.' ,..fk:)/E':....~.<'7t'4i,6 PAYMENT TYPE a AMOUNT . .-- " ..' <l . ~ ,/ CAS" '. C' CK 10 :3 (/2) M.O D?f~ ~~)!.::~1 P' . ..; /! c;c.fe.c. . OTHER . AUTHORIZEjf'SIGNAT!!RE CARMEL IN;, .r' /'')1- $ t.::.;:;) t /(/7..i. -"-- OOLl:;A:R-6---... tOO E;F.T. 1..'.......',..,,_. ,;.> . ~ I . .. .-... '~'J" "e ~ :' .;.. ..., ;~,_.:~.,.::,'.';.- ,/. '. . '. .;~" ..'" ,.j' '-.'..- ~.- ,:.;.~,~:.:~<.;:~lk~::. ;:::,i.::~, ~:~;;'>.::~~s. ,:.;'j,...;;::i);:'~~ >i: :':~<~:2,~.;..:..: "/: ;'.\' , . '''':::.:Lj:::.'.:~::.;,::'': ',C, 'C'- . ::" . '~':;':':i:\":'~'--:'"O:-:.'~':' ~:~:.. ,,,;. . '~:'.~:' ,", /'.:> .~~ '.~,; . - ".'; ':,' ~ .".'. . ~':- .i> i. :~;! '. \ .,'~'" '"" ", ""-""'..0' ''-.\ ':_~:_J-':1~~';:::<'~-:'?'::C-:J'" ",':1.-' .-',-, :,:;~,:;\,;"..-.._". ..aN.I:R"L POR....-~O~._3.2. - tii.~~ 't~87) .:.: 0':':" ".: ....:..-, ,". , f7 -~~ . RECEIPT DEPARTMENT OF COMMUNITY SERVICES N~ 2119 FUND &/;3 2002- . RECEIVED FROM JI~ ~ i!..h()~ '. . rJ. - / j -*' . . /VQ... THE SUM OF ~_ ..~ .<< ~ . Y I d--t..---.------:-------.---.---- . / _ . . '. ioo DOLLARS ON ACCOUNT OF J?~I/{~~ ~ ~;~?-/~2- ,ytJf'J PAYM"" mE' AMOUNT f ~ (G1A!.U/h#.;II:<O b ~~ ~ CASH CHECK .016:::> M.O. ;z:::.-:;7~~ E.F.T c.c./s.c. OTHER AUTHORIZED SIGN URE CARMEL IN., .~. . '.:- "'- ~", ... ~ ..., ,.., -... ~' ", .'-; " , ., "',' 'I" .--,' . 1-' ',>, .' ~ - . " ,.. . ... - -,.',-'. '". :",_.~"1' ":,." ,., . .:", ".,~" , I.I-,~ . . ."C" ~' '" t., '." ,',';," "', For.. Pr...,rlbed by Slale Board of Accollllll Boyce FOrllll Syslem., Muncie. I... O.NIERAL FORM NO. 3SZ .REY. 1887) LJ RECEIPT DEPARTMENT OF COMMUNITY SERVICES N~ 2120 FUND CARMEL IN.. ~-e ~ ~:~E~~E: ::OM _ '~Auto/h.; .Jj~ I ~~OLLARS ON ACCOUNT OF CI2~~. IJL~~1--!/- 7 () - 0 C"_ Pr fA.L.tj)~, P/ . t/~ PAYMENT TYPE lit AMOUNT.;>" /~>.: u' .- ciC/I cj ~. / . CASH. CHECJl". -' , Z/ M.O. I ~&-~L'-7 ~scY- $ E:.F.T c.C./s.c . OTHER AUTHORIZED SIGNAT~.Ri' - ,-