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HomeMy WebLinkAboutReceipt rOtm_ P.r-eSC.t'5b~d. b~ State Board of Accou'atsBoYceFoi~"9 Systems, MWlcl"a.'m. U '.RECEI~T. () DEPARTMENT .OF COMMUNITY SER't'fCES GENERAt.. FORM NO. !-!l2 (Pl:~V. ,..,g."n !~ fi . /~:C.::Je".~~_.,;; 4:' ,." N~ 243.3 THE S,UMOF . 'ONACCOUNT . FUND .- CARMEL I N~~-=)~"";>-) C;; 20 ''8 . V (- r' c.~" .,' . REGElVED FROM .' .::..Jc:ct_r:- /,\<2,,-. ('7.'..... .j.:, " pi , . C'. . c;,v;~Z j~/ ,'<d..e-.-p-,:CJ.-..---::'--!!.--<:-:-" '. ,[r",~~. ", /<-C-'V'~~~~"0 0' /,- .,'-'7) DO' LLAR /" " ' -~ 5 O~V~::VS- - O~ #6-.?u ;/ ~ /6-0;;/';;t )C) 1/ _ ~ 1070 $77'-. " C . .r.: ,~, / .~ --'1c::A ' '-.) <:_--Q(' _. ,/::?{( ,l'T) ''''-,J> PAyMENT TYPE 6: AMOUNT ,.,- ~ - .. ~.,.,. .' ;/' .,.... CASH .. CHECKNI1 b S """';:'=:'-::..:;';'o'u~~J;:""""'-".,,. '--<::zi"'77'~ . M'.O. : _ //'.' _)#.c1~___~-:~..,_,-~ .1/'" '. \ "'_..............--" $ 77tJ 00 : 'C..C./i3.C ",' ;,-' AU"TH~RIZEC 5IGNATU.~E: . E.F.T. OT!'lER . ~ "'- -, .