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Home My WebLink AboutReceipt u u ".;: " ., ;'- ".,'" ". .;.-. FOIm Pr.scrlbed by S~ate Bornd 01 Account. lloyoe For""" Syotems. Muncie, In. RECEIPt DEPARTMENT Of COMMUNITY SERVICES Q'I;"Nf!,;'RA.L f"QRM NQ. 315__ ~R.e::'V. lEHJ'1J .L("1A' Y < /1._;7 N2 2543 FUND CARMEL IN.. :.::? - J () 20!) :;:; , ,$ ~(j.~,'" THE /J I J - / /..-'7 _,;( R E C EI V E 0 FR 0 M l(-;-, /)';1 .--&,-irf_/ff,(/?"-"t".-#( .~ (,V" . ,/.,4. U) "" '. / .__,~'L <e. ~/) ,. ....,./ // n . _.L. ~. ,;" ~ --~- ~r .." _~ ",ti' // /" ~.t /.1".. d /1./ ,," -",,,, . " :.7". ',I ./ ~ A ,-"" ;:::.pr' /" m)'-"~-"--'-- "-,'-......1' "'" - ..... "..... "'" ,~ --~ ..--..--(/ '. ."...... ',.....~I!"Ii"-....- ,,r'- ,-?)' "'..-' ..,- V ,.,. -,~ t... /,' .~;7 ,,/,;'., /1 ON ACCOUNT OF i-//!>/J1:"C)j) /fI.,./~'.Ift7 . "/'" -,. , ';' --,,-I' ,'1 ,.' 'j I /A / ,.~:~,~ "',7 C ,~.;; _.. ! /'~ Ji.,P' /1 ~,/ '-_,__ ::~) ~-:7::' ;::~...~~ SUM OF OOJ.,J,..ARS 100 , //~ 1/-,/':"-_ ."1'" PAYMENT TYPE: a AMOUNT ./. !.I.-;.F plgc.,.......". ,'/ li-'- -- -;',/,"- /}' .",-7 ! /' I" ""-?- I -7') i,r" cltP:::CK. :"l !:'~.:-:--: ...~ J'" (, M.a. "'. ~ '" >,r.,~~, ~ie~;,~::J\~', - ';::' r"~ .// 1 . /,r ' ) U <' -r ;.:., ~ i'/1 --I :::,' l ...:-. .;.-(,-.r:1(; ~.-" r . ---" E.F,T. c.c./e.c OTHER ~ '~?~, ~ ~';"~:... j "AUTH OR riiir"siC:NATUR E ,)' (/ CASH