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Home My WebLink AboutReceipt Form Prescribed by S.tate Board ef Accnunts BOTe'S Forms Sys~ems. Muncie. I!.1I. u CARMEL IN" RECEIVED FROM' THE SUM OF RECEIPT DEPARTMENT OF COMMUNITY SERVICE$ FUN.D J r"',,"-- /,i I ~ .:1'i (j;) . ." -:? 2(>>,. (1..,0') ../. .M{,.".,l.;.~;J ..l "or ~~_ .cr' ...~..v,...J l~:/"~-{~; /1/1 , "fF~/if (""""-..-<,..t~',--,"/IJ! /~:!,,- -,,'K'" ".~,i .,;:~.,..~~? ../ /, t" ,k..... ;/' (/i ;/7 .//~f.4f.../k"!..F"5f-f I.<~;:I . "J?!:;t / /( /~ I' (J' ,.;1.-- .......J~~~~ QN ACCOUNT OF :::;'>:.: ~ (j 2, /!./.1)L <:, ,." /1 -~;1 PAYMENT TYPE S: AMOUNT ,c" }~.;:t".y...,,'f./~""'b'-7'l.g;~' /"~~ /i~'- c /"""_.- CHECK;<t' ./.--../.t.f ~'-:./ )(' M.O. .:,....- CASH , ..U' E.F.T. c.c.fS..C. ,,~) ,f (~<.-L~& ~-r- .-:l ,1'1'..... r ..-l..J_<~~r .A<f' :___.......~ - r"h_-'-'" ',,;. OTHER ta-ItHEflAL FOAM NO. 352 OtE\!. lOgo?) N:~ ../;; , ~.' ""'....~;~:;.~..;f..<'~"l .;~-:-? '''"'--~-;{'''.:J:~~./~,t..J'/''/ ,.,.....-- r'i (/ ICa (::~~~~';:;;~,d>f,..i::;;-'<"f; AUTHORIZED ~J,,~'NATl)RE .<'7 2513 $ ""'"~. .r ~:rt.,;; ~/::? L/S-~;;;/] 'j , .~ ] ,I ,I .1 ":1 .' I "1 1 ;1 J DOLLARS