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Home My WebLink AboutReceipt fOL"m PrescrlblO!d by State Bcmrd of Acco\Jn~:;; B07c,s....ro-,tms SVStEtCl9, MI..!..l:l::i'e. In. U RECEIPT 'L) GE:N!l:R.Al. FOIi.M /'>..'0. :!l~2 U'l!:..... Ig!'l" DEPARTMENT OF COMMUNITY SERVICES Il.tQ .-,. ,,d 2136 ~'1~L--J FUND 4,;; / 2oC2L I , () RECElVED FROM 1+ j Cl/l~~~1 ~1.L ' $ f6J5() <!lU fl j1/0 _ THE SUM OF 0f1V +LM~1-L0\-' f-:-IA~1-')L I J-L----- DOLLARS & 100 ON ACCOUNT OFV ,- (33.-0 2.. ~. \,/- { 3C( -~ Z- eAYM'NTm,.AMOUNT _----LQ~cf /1~* ~L CASH cHEcr.:!l&>,( M.O. .' .- ~~ '.'.T. c.c./e.c. OT"'" "'"0","0 ""7' CARMEL IN.,