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. ~aIlcilbed bj Stdle'Board:o!~( '1I.:~ClY~e~p:o~ syote~.{MiIild<i'~':')';:,,";\:,,'\';:I ~ ') '),. . .'; 'C'.' . ,.t,,::: !,':. ..... . ,,:.:.. ....: ,Y : .... ..,..... '.~iECE.IP1'-".. .' DEPARTMENT'OF COMMUNITY SERViCES '<'f,J~h~~A,.,~I'IJIII!".""'.-:'"-- -,---- No .- 26.11 C/1~ rrot. FUND. CARMEL IN.. >1/- /(-;- 20.03- RECEIVED FROM.. 7k,k. ;t/CJI(/J ", ~h;j,~.~1/oGt(j. TH ESU M OF tJ!,,/.;i ~u<J,.,,(1 ;;:$'1'/ A I';" "(,, ,.f '7t., "c:,'-<k it: ON ACCOUNT OF AI? /131' /) 0 .' f. -. L/yt.. tI-i fJ.015 llnpf(L ._ .' / ~')~:'" O~:';:L. ~t!w,i-:A."/~':'--' '~...J AUTrtOFl:IDD SLGNATURE DOLLARS $-1 )4y.. rl PAYMENT TYPE a AMOUNT ClASH CHECK ll3 d... . M.O S.F.T. c.c..{a.c OTHEP