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:':':C:'::';~:~~p::::::~;:;~::O::ar;o~-~~:~' ~o::::O:: :~:~~ ~~':...:~:- . -', i~-;."~ ;~,~. ;r ;~ '~" RECEIPT .~"....... ,.~.- .... u _, __ ...'. ",._ '.. ....... '..... _.'.... '". ~'_' ._._, ',_ n.. _,""_ . __, _.. .... "..'- '.1 ... '.: ~:'.., ::-. ." ", . "." "'~.' ~~,' .-" ," '.. .. .#" ... GENE.RAL- FORM NO. 3152 .~IEV. leg7t DEPARTMENT OF COMMUNITY SERVICES N~ 2079 ....J :1 ,~ - CARMEL IN.. FUND '-1J!~"4'-a' 0 b /{..... ~20_ /7' d' ~ 0", . /? -'''' ~?-i-e 'X..-UX r/ $ /'#ZJ ~9V P t...../ x:::Le.-t/e..t~ ~~--- '.--.-.--.-------..:=::::::-eebU\BS 100 -'..h.. 67-(i2 Sf! /~J /'/4 ""j /' . t/l/.CA:/di/..1- . ~-;.--~ - a/I . . -",/7 "/;l. 0~~::-;t:~. RECEIVED FROM THE SUM OF ON ACCOUNT OF, . /,:' I // /;:;.. .J' P'A. .Y.MENT TYPE a. AMO~U. N 1 O(~t~~...-' . .' /.:1.717 f 'C'ASH . C ECW_..7 . I . M,O . . .' ~..: .,.". .". . ....c ,.::.,., ;': ((. E;f'.T