The URL can be used to link to this page

Home My WebLink AboutReceipt ... F9rm "~r~Bcrili9d' bY~:Sfcit'e;BoOtd 16fAC'i:OUDtS. B6yee'ForirJ.s~'Sy'neftfs;' Mu-nC!it'l,tii . , , . .." 0.,: REq~lPT . DBPARTMENT OF. COMMUNITY . ..IIIH:iU,AL -,"ORht NO. ~~2 tREV. .QoQ."~ SERVICE<s-J ~""?r"~' .,. / (_~-~~~,. ,:,~ ~_ ;:". .c N2 249.7 'FuND CARMEL 11\1;, =:":::; -~.,/ ~y/ 20 123 .' .... . . C"';::".-'<. . ,,' RECEIVED FROM--..~"t._.It",-~. 'THE SUM OF c-4~~~: . t{ ,)<.~.:?~.,_..,.',:r~~ ,". .., -<----,.~...~ $< by3; ~.~ .->- .." ' C' l~><.~,~:; ,. 'DOLLARS 100' /-:1 '"_'_~_,6L._r-: (!,_ ,~.-;.~:_.';p . I[ ~'L_~~"'':,,~-, FI' q::r':~~~ .~~ ../' ..' '(~"':..~""r_ ~ ,.(,~" ,- ,....~,. ~:. L "-f -':;1 c,._.( ;..l_;jLr ,l A L.'""' //. ,,' Y , I .{ .of ON. ACCOUNT OF /;~)/~.(' --;'\;"'I(:::'} ""'t~<-".~~Y{ - .... ")', .-, ." .' /; (~~),_.~~~'-;: {)3 ,-"':'-J'-~7-..~/.~l) L~S PAYMENT TYPE III AMOUNT CASH CH ECi({,: t,.~~~~:,t:.l)- M.O. , r -- " ...:," "'- ~~:.:.:~,:..:.,:~~~;.:'..':'~>~ -,_,]'''~_';;~'--~=-'_::-;'~J..,:~:j_ .~:::. . ~ '" c.c.fa.c. ~........,...----,,, AUTHORtZEO SIGNATURE '. E.F.T OTHER