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~"} u (J .~ ItE:CEIPT DEPARTMENT OF' COMMUNITY SERVICES d~ / N~ '198'1 FUND' ;:;,;. . /1 r)- ~.........-,. CARMEL'IN.. ....., ,,,j - .:;:X C 2~?...L-' ( / --;;7- -7/ ' . crV RECEIVED FRQM '-'~-~~~. ~~~~ 7(JZJ,,/C/tJ P .#' $- TH E SUMO F~~.-t:!"e4c"~~<~-~-,---,~- -'-'--_._-~---_.____._.... , , ". . DOLLARS ON ACCOUNT OF c1/f-(J2 S P ;00 PAYMENT TYPE !l: AMOUNT ,/ C>::~~L./~.. ~"'lPl~ /i.t9f..J' k . /" '~;:J 5 906,1/' . {J /,/. .' \' <7 /1 CASH ck{d:,_ OM.O. . '-:...:f)-r.........<:J~~(.-1-~~f E.F.T c.cJe.c. OTHER . "'LfTHoRrZ~SIGNATlt.:5t