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Home My WebLink AboutReceipt n - ~ -, Fo,,,, P,e.<:rlbed br Slate Board of Account. Boyca'Form. syst.",.. Muncie, 10. RECEIPT DEPARTMENT OF COMMUNITY SERVICES r3I!iHE::FtAL FORM J.Q. ~52 (REV. 19'071 a~ls-tr2J~____ N'~ 2075 CARMEL IN., FUND fh~~' .,o~ .2~ Y .~ , L f'...."",, ,~'-.\.. i'r---\--~~::;-, ~~ c-7 .~ ~ ~ N'~L.:-~ ~~D (.....Er----___ $~e<':::".~ RECEJVED FROM THE SUM OF DOLLARS ON ACCOUNT OF G>S-OQ.. "3,~p ~ 1&'"", ~'-\"-* '- CI>'> . ~ ~ ~~~~""' PAYMENT TYPE 8: AMOUNT __ CASH CHECK, SJ8':::;, M.O. ~~ ':;:;;C P FTC C I OTH"'R ~. ....~un-ioFHzED ~IGNATUF.::::: ~. . . . . e.c. ~ -~__"..) tOO