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Farm Pl:BJtcdbed by Stc.to Bt:lardof A-cc-o\inte Boyce Fora;..~ ....~..,llem... Muncie. In. .
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. ," . RECEiPT'
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CARMEL IN..
RECEIVED FROM
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ON ACCOUNT OF
PAYMENT TYPE ... AMOUNT
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CASH CHECI".''/ ,
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GUI;NI!!:FU.L FORM NQ. 3~:l IREV. , golil'11
DEPARTMENT OF COMMUNITY SERVICES
N~ 2016
FUND
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