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C;ENERAL. FC;~M NO_ :'!5o:J IRl;;V.
Form PreGcrlb-sd by ~l:c.te tJoord ot AC.:ounts Hoyce :Fcl:ms S'fSrems. Ml.l.:Dcle. In.
( ") . RECEIPT I \
'-DEPARTMENT OF COMMUNITY SER~ES
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2196
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FUND
CARMEL IN.,
2006{
$ 6 _~().. Do
RECE[VED FROM
THE SUM OF
ON ACCOUNT OF
OLU\R S
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PAyMENT TypE 11< AMOUNr
CASH
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