HomeMy WebLinkAboutReceipt
u
L)
.'
Fotal. Prescttbed by Sto.te Bocud 01 Accounts- Boyce Fo:r:ms Systems:, MunCle.11l
o;tli.HEfMl.. FOR~ NO.3.,;: I FlE'lj'. I g.g7f
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
N!~
2056
G)~~
FUND .\
CARMEL IN., fY\~i J I ,. 20ciJ .
RECEIVED FROM. ~fD-~~~~ .:t-'~~i2,~~?Z'i2- $~S'--C"~~
.~ ~ \ ~ <..;:,
THE SUM OF \ ~h~~~~ ll1~"\' ~~ ~ D LLAR~
~ . I u ~
ON AeeO U NT 0 F -t---' ~ 'S.l!1~ Q.u, ~-0 ~c:, Lff"\"' l ~DL~ ~l.2O r=-:-:,
LcD -0 . M, '\ D
CASH
CHECK 9.~/L-
M.O.
,~~tl SIGNATURE
PAYMENT TYPE It AMOUNT .
E.F.T
c,c./s.c.
OTHER