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Home My WebLink AboutReceipt :,;.",,_:, .,.'.' ",-","",,'"'7 : ,".":,~~'n"" :~'0"'TI' ,.,.,.' ,,' ,"', '" '. ," , v "" ~ "~""~ "...' . . Form prll!!8cttbed by Sta.lEl 8oCU'd 01 A-~OU"t B F' C S ," , ", .",," " ' '"", ~,,'"' ==~~<Ol'-,~~,..~ - --, . . - ," O~ - ...-,v_...o . . . . , ' . ..' '. ...." . ....:" "! . , . . RE(:E!PT -..,.,,",. .;: ... ";C...,,, .. DE.PARTMENT ,OF COMMUNITY SERVICE.S . '\ N~ 25'031 I \ \ 'I \ 1 \ \ 1 ,\ , u u J/-.L,' J" ,/' :2 I )! ii1l r-, $ '-.-/u; "T- l- " L--,-"-,,,-~~--'''~~'''''---~---:-\I DOLLARS too ' J, ., PAYMENT TypE i.t AMO~NT ,( _ "', ;' J.;I;A3 , " ' , I A,'j I.i'~) CASH, CHECK"~" . M.a. (\ "-'''''), " ~\ j' '-4;.,' ~-i---;-::"'- / ~;~! V l~1 A.l lAI' "-\1 / Ii,.....' '.,,' J"'__.r<,-i ~U-rHORLZ~O SIGNA.TURE . E.F.T c.c.{a.c. OTHER ._. -" -. _..-- -'.-'