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, . F;rnl'Pr~.c~ed'M'SiQ~;;'jj6<iidof A~~~ki.:B~y;;;F~;';';;'SY~le';';;;il4wi6~.I;;"":' .' " ' ,RECt.IPT' ( ) U EPARhlE NT OF', COMMuN'frYSERv1t-ES .' ',." ~.H~;'AL. Fg'RM H'~. ';UI~'::(~Ev~~:i~~'7-1' ,&/)6"r~/ FUND , '", . <',~d"- CARM'EL1N" ' ,..(.~ <:, /,". . 20 L2.3 RECEIVED FRcj~{"~,,~~~~~:~"_'~;Z;~::;"~~,..,.::-t.~?~:>~,;h'A"!o"'=) . $ =]~ d Y/:':3~P ,', " ' ' ,,1~ " L I /' -' , L;,: " .f =4 .,/.;" THE S" UM 0" ~~h~ ".~;,,-~---'._-~-/ -:' /~r' r: () '--.,-' 1-:" ..=.-...-;;;r~jJC';~" . ,'. F ' "" -':': c.v t-~'~',4'-..""""""""~,, 'A!..~:~/ P.l'';;''JL..4 60LLARS ON ACCOUNT OF c\~,- &>...32,/~f;.Ly.'S o/-C0l-"oa c-::J;" ioo ,-F>/ .L.'7~.' .J..~.? .m I ' ..., ~ T -/. ..7 ~ r-' d'~:'::;C~ N~' 24'61 PAYMENTTYPE III AMOUNT ~' /4'/';// /?"."""~" ':>'" CHEC "c ".c "'1.0. CASH 4~- ,~:~~~'~~. ~./7~, _ .:~ ,'~;F--"'~~/~7;1 -., (_,~.,,, AtJ-rHORIZ"EO SICNATUffE: E.F.'T c.c./s.c. OTHER