HomeMy WebLinkAboutReceipt
.,
w
u.
- .- - ,. "..
. .
Form Prescrihed by Slale Beard of AccollDt' Boyce Forme S}'IItema, M""c1e. lD.
..N..RAL ,.ORM NO. ISZ (REV. 1817)
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
N2
2072
~
.,
FUND
CARMEL IN., ~.2Z- 20. ~2.-
('/ ~.~/ -;1'/_ _.
U'A .~:::;;z:::-~~
~~...\.k~----~-.
ON ACCOUNT OF r;K-02. S P
PAYMENT TYPE . AMO~"7' ~. &-- . k,' 2...- ~
CA::,~____.. ... c::..~ ,~1J;.'OOTH.. ~.~
-.. ..-.. .'" _'''0_ , _, . t-
RECEIVED FROM
THE SUM OF
$?t~
OdLLARS --
100
~