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Form proocrlbed bV Stat" Board of AC:COI.ml.a BoyceI' . '\: SV:::'Items, MUDae. In
~ .' RECEIPT
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lJ;:Etfa:R.AJ. FORM NO. 3~:' lFO::V, 1!J~71
DEPARTMENT OF COMMUNITY SERVICES
N'g 20 11
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FUND
CARMEL IN., ~p" L- \ \ 200:;;"
RECEIVED FROM 1--\",,'7_= <:::~~ ~k~
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THE SUM OF ~~~---' ~\...~~ ~~
ON ACCOUNT OF J-l b -c~~
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PAYMENT TYPE & AMOUNT
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Form Preac:ribsd by S1Gle BQozd of AcccunhJ Boyce Fonn~ Systoms. Muncle. In.
oG;I::NEn,6.L FOflM NO, 3=;;' (P:~"". 19q7)
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
Ni~
2012
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~~v;-'ZA-~- FUND
CARMEL IN., ~>nll-' II 20 D~
RECEIVED FROM l-\c""-<>~~c'- /10 f\ ~
THE SUM OF ~eb' ~ 1..1~~2-b--.t::::. ~ ,tl""'T DOLLAHS
ON ACCOUNT OF ~ - ;;y:,-D;;:L -2t\,j,,~ ~..,-,<l;) '"
PAY',,"T TYPo . AMO"NT , ~- 0"'.\ I - D 2l--. 4t l u ~'_5:t ~::;,...~
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E.F.T. c.c./a.c OTHER "THOFHZ SlG""TunE;
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