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Form Prescribed by State Eoa.rd oJ Accounts Boyea Fearn;;; SystemB, J.4und.e. In.
Gii:N~nAL F~FlM NO, sn I Fl: lEV. I ~g;7j
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
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1971
~F,U\ND
CARMEL IN., ~ 20 D d-,
RECEIVED FROM \~- ~'~1~'::,
~q, \k~~.~ ~'h1',J ~D-~~ ---sGbU~RS
{\^ ~ \ 1 _.-,..:l . 100
ON ACCOUNT OF \ '\~'L~_*,p-,~\~ ~O'.-~~ , 1-0 \ (~
~~\) - D' ~_..~\~,-c>:-"r)0
CHECK t.f~ S;>.?( M.O. /
$~!X).OLY
THE SUM OF
P,,"YMENT TYPE 1I: AMOUNT
E.F.T.
OTHER
CASH
. C.C./S.C.-
R1LEO SIGr-JA1'URe:
u
L , NIN:C.
Corpor~t" 1~~ntitY&. Image.
March 8, 2002
City of Carmel
Department of Community Services
One Civic Square
Carmel, IN 46032
Re: O'Chatley's Variance
Enclosed is a check for $630.00 fa
usan Seymour
Program Coordinator
Enclosure
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II
Bell Signs
1200 Bell Ave.
Panama City, FL 32401
800.868.0284 ex!. 165
sseymour@bellsigns.com
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~Ml 11 2002
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