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I " Forni Pre:Jcribed by Sto.h, BoaId Qf }:~ccounlg UForma Systems. Munde. In.. RECEIPT DEPARTMENT OF COMMUNITY u <iIli:NERAL FORM NO. 3~;Z (fl.E:..... \\alJoJ! SERVICES N~ 1 9 79 Q ~~~'--- FUND CARMEL IN..nl.~,~{ S) 2ce:;,1. >> ~ R E eEl V E 0 FR 0 M '~ L p.., I IVUr"'>-- \:1.1--,&~-12. T'...s } LL~ \ ~ -0;;L ~p ~ ~\G=~-'::' stl ";J '?J5.b0 , THE SUM OF ON ACCOUNT OF ~ "---. l-o._'_4l..- '- '~\e-"'~l~::' ~~Q " 1'=I'~;" ""...r:>~ DOLLARS 100 I::-.: ILL"-~ P"'VMENT TVPE 8: AMOUNT .- -=-',::5' &::. CHECI<: ? ~ ' M.a. ~'-\. iL" W, L~''":::.' a ~ E,F.T. C.C./B.c, OTHER ~-~ '-\t^~ ~''''- ' J ~ 't'v""""-~ AUTHO 'LE:. GNA rURE ~ CASH