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,.. 7:);iE0~~~'t;r!fi~q~H;;;21;~it),)~1"2:';~~~;;;:)':;:';:"''';:;'.."'(3" . DEPARTMENT 'OF' COMMUNITY: 'SERVICES ~'I;. ~"I . .,"", l'l'."":~~;::C.:'''' . ~~_.- ~')~:"ER~~ F~~'''' ~:, 3}:,~:::}'~::;;:i"\:1 :1 'I ! N~ 2449 ,.J J} ~/"1.' ,I , " ,<<JV'L1l: ' ,,' ..... J ," . FUND CARMEL iN.. /) 1-<::,/J~~33/1 j / ' _ _ ,"'0 RECEIVED FROM ,.,-,~1/7";(",l;____?i_,::jZjl 7"',~/A')(..e.. I /?/1,;,L~../ _L/ ,/ oc'" "- /11-;:- . , ';~ ~ /.:. .~..! __,' '" ~ r .r .~ $ . . l! ~ ......-1(;1 . .'. '. //.'. . '/"r-j/ l/.""'-f " ;f'-;;" I .r -/.-;/ -----t~ ,"~ .~ ~~ ,"' 'TH E 'SUM 0 F' 1>--;;;-_L.;r'~d!~~,..v9.4-;,.?'{:..../-:".'<'1.~~. >ihJ,~,,1<,/~&r/~~j: ~-_.... .' . po , , ,DoLLARS~""'- , ""'1 ...,...... 2 /-' " ' ,1100 ONACCQUNT.OF ~-:,(jI -c/'/L-..t), i-c.:J/j.()2 \/~,,-.,,2/(II'rJ? ,,'j . '/J-. PAYMENT TYPE a AMOUNT ~,.:.. :;~V'X..L.-v-t~_~~,~f::}. I ./'" 1,c.I,;'//- ;;C '-,.' CASH CHEeK/,Y'l;'_".r-' M.O. ..._~.~ ~"'" ~ ,p' ',-.l /"} ".( . /f' I ,~f ....<' Jf', './ . - c, '-"~.(.Jo1",../.",~ ~-"....~,,,"~,,.::).-p--( l /) . C...-o-7....-:<I.::...'~,... /j ~/ . / /' ~~~---~~tA~~.4. .,.., c;".... AUTHO RIZED $tG'l'iATURE/:' ~..I 1,/ E.F.T , 'C,C.{S.C. OTHER