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tOt'tn prlli!lRcribed by Statu Bamd elf Accounts Boyce Fe/ -Yliteml. Mutide. In.. . . V ..>>. RECEIPT u ~&I"fE:RAL. f'QRM r~o. 352 (R5V. 1 iO'''71 DEPARTMENT OF COM,MUNITY SERVICES N2 2357 ,~ '1 /X::k-~.j/ FUN.D /;; . / ..-;. -'.' ~... , ~~ CARMEL IN.. . 2Qt./ 2- A ! .---1~. /' I -. ;i.' , ..1- ,(/d?~,...IW ~/.?2;;;'c!,~ ~'f"-'{.'p $ 'i7Ir;;;;-:V REC.EIVED FROM THE SUM OF ..') .-/ - \ . /:{,J:'~?-t'f_~;"L:~U&y'/./'.u~~,-;Z:;/r.--..-_._---.--.geU.AHs...". ON, ACCOUNT OF ll,"j?.-?. ,);J 1/ _/(c"'~ ~2r~;7~"1~'-'1'7J;'i-l' rj'\ z.. 100 .'j . I." oi...r" I'.. V r J __ _ .~. Yo ~'-.., -" '-_ j " ,~ /[/d,Z'-'. aU' ,'. J - -I. \ '.,'<-:-~~' . ..' v<!4../I._.~ "/f..l!!.-J/2..p ", PA.YMENT TYPE It AMOUNT /' ".n .. ~. , .~__ ...: ,"'" /1 '1-' -7 (" / ., ' . //""" '-,.. \ /€,{) '.~.~ ' ~.,A " ., /L::,.~, /~ 4' -', CASH- CHE;.GJ<-_ I P'~ M.O, L.~t'~..-t:.....e......--':~,..---~-x."'1r-'r....-'c.~~':J AUTHOR1Z,e6 SIGNA'fURE E.F.T. c.c./e.c OTHER