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HomeMy WebLinkAboutReceipt P'''''c:nbed by Slate Boa:.cS'o! Ac;.,olUlto,' Boyce Forms Systemo, MUI1Qle. In, GENERAL "'O-RM NO. 3150: '4R~"', lI;nIT) " " RECEIPT . ' D~RTMENT OF COMMUNITY SERV1C~ N~ 2570 ,~ RAdL~f CARMEL IN., FUND :2 _ 'J I () :;2 C'"c. r?\ , 20~ ;;-eJ "':)/' L~_- ~ -": ,,<, - "J~-~ . $" v ",.r;~ ?!y, THE SUM ON ACCOUNT OF OF /,/' -: ,. ...,..;~} / .'. .. .. // ,J .,d.-,,,, ",._LA if J cJ ,', , ,"' ~ t ' ~,..d"J ;''1---" ~ L.... :_, ,l~...~~ ,..-'--..:...-.;! c.,-;;?: _'~ P~. --'" "'-1):/ ~7 . ,./ (:l'",,.')! .....' .___,___ >......./JC-,iP...-i jfAX.':,r1d-U.(~/' .,~,;,:L4:!./1 ."r.;!t-.(-vt.. DciCl::oIRS' , /' // /' 100 /," '7 /, -". LJ /\ / r /7 / t~~/ / ~,'j A"'-,' t./~<; /! I.....) "---. ;, /r-t /;.;it.p!.4...4"< . ',' ",,,,,;/. / /---1 '//}-z/;7.fJ./ ./';:x." ""i!-;;e..:...!'...-<1 j - ~ ,- . ,/ ,/?" ~ ,,";/ 7 ,.~:r;:"{>x~.e-- \~---n&?J"~"---:/ AUTHORIZED SlrjlATIJRE tl RECEIVED FROM ~- P~YM~NT TYPE III AMOUN T~, ','/ /I"he I " II.!?, .-7/.7 CASH CHEs;;. ,/'/'.7 ? ./M.O E.F.T. C.C./B.C OTHEP _ __ __'__" ~.. ,~_. _ .,co. _~_ _,_,._ _______, _,_ ,__ __r __ ..~_., ~~, _ ...._'.-....,.--,~,., ..c-"__ ~ -.--- -