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~?~'T:i~;~;~~1~~~l:';iJi:~;~;'~~7~'~f\1~~:~~iJ~';;;g~C.~Jl~f~;~]~!;~~~!~::;~)!r?\0':':','i/\i.;';:~!!;;:'cT.:,.;.i;; ."c:,;:,:..,:::..i:0'(,;U,,/>,,!!, 'J" . '. .' "R.EC:EI,p,r. . DEPARTMENt OF ,COMMUNITY SERVICES :~-;,.,~:r:-:'T2:\':-.:; ~,::~-i::~':'~:;~/; ,:<~,':t:,"~, ~r'::::~ :t~_m;:::~r~';;T~~J7' "'~N_~-~'~L -~~R:~' No~~~ez (~~~. '~~v,f' /' . . 1 ' [;lI.N)tAt~..../. FUND V'1..,' ," , ~,-- j '/ . .' , '. ',. I t.- CARMEL .IN.,".J-..p ,).., . . 20 () r2 . ... ';j '. '1' . .' .- i"1 ., (}, . REGEn/ED FROM .(,l'th./1UU~ lllu./tt( lnl/'"Mil<Jl.C.f;,AAA(!.l) I $ 3Lv if. DD '. THE SUM ,OF ~-rA}ttL,,)\ }/'/ld,t{ . iv Ai.. -V/..(JtLh. &fJ(J(., i:'10!J/tJ--OOLLARS '.. ',,' " -,. ~--, ..' ~ ,J _fjl,;!;. /1. f ioo. . ' . , . . - "I., - -..-"\;. ,- ."'.---- . -c....-.. f" , . , .' ...-' r J ' . c.,"". "~1 ...;.", ,:...~I>~ ~""'. ,'~" ...--'~j! '. ,_';,_ " ....,~ r: J I;, l i.__. ~~ _T' ON ACCOUNT OFQWr.;J;~.~(' ----=f~I__44~=j-~VJ~.-:::tA~/..! J;!tLJL..C Ifrlt:?ct I J,i.tiAi..(,JJA. II' 'I / /1 //), . .~:/ "'-a-l L'd/\'}. !,.{!.AC~jJ. /lu./~tl-" f<(i./ . 1/ - ^ '\'.;;;_-'''Yt l__-' L.. _t:t' !..."",-:,. '-"',...,-Jl".... .-1\ , ! y ..-' ~ ". l? , '<:;, (...... ! fL....f/tAI I .. y. OJ '" AUTHORIZED 91~NATURE N2 24'76 /; l'l / PAYME:NT TYPE a AMOUNT ! ti"U )!iql) /' .." ' f', .",' '} , r;rl.l-Cf.J!..," I, !; CHECK '- .:< 14 J r 'M.'o'.l Ii 1 j,'L ....' f\__) r J CASH E.F.T . c.c.{e.c OTHER