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GENt.n:AL' FORM ,NOr 3"2- .IRI:;V.. 1~~'.' Fl'esc:r1bed' by. ttta.te ~orl1 QJ ~unt81 Hoyee .t'Orms: ,:;yslemS. MUI1r:le. In.. . r )' . ..B.ECEIP,T ( - ) DE~TMENT OF COMMUNITY' SERVICE~'-" /~/~A~ FUND " ' .- (,f., / c;, 20/'-<:: . .. _ ~'_J, 71(; A /d.(~ ~ / ,/Z:~-r1h; ./--d.-&--:--> " ~..(U"'1. ~Af ..::6./ A'/:0>/~A/ 7f/ ~ ? ;. ~:I./-~ ,/'''' , ' ., " "/5f. // 'bNACCOUNTOF~.?-f) ~Al)L <;, . {/, .(/ ., . " ' ,-'Jd.,.; , a d /.l ~AYM~N'rTYPE6,AMO:N,. /J ,~h (~~j/N'~7 -,- CASH', 'CH~rt:,l4' 'f ~ M.O; , ,..', /," , /' "; C cIs c' . t" . ~?_-w' ;tt "'.1;. , \""",~/..~~..L, E.~.T. '.,~ . . - - - &' ~ ,. . .AU"'HORI~D 91Q."V'TU,RB CARMEL IN., ,RECEIVED. FROM' .THE SUM .OF' N2 2613 VV $ 7;:;lf~-;$j . ~901 I A,.~ 100