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MISCELLANEOUS RECEIPT
CITY OF CARMEL
,()
RECEIPT #
RECEIPT DATE
10795
07/01/2003
ctingley
SIGN CRAFT
RECEIVED BY
REc:'D. FROM
TESTI06.1
UDF 106.2
NOTES : 53~03 ADLS AMEND TOM WOOD FORD
P;RINT DATE
PRINT TIME
OPERATOR
COPY #
07/01/2003
11:13:28
ctingley
1
CASH DRAWER: PZ
FEE ID
AMOUNT
MI,SC
TOTALS:
METHOD OF PAYMENT
364.00
THIS RCPT
364.00
--------
----~~--
0.00
--------
-~~-~---
364.00
AMOUNT
CHECK
TOTAL RECEIPT :
364.00
------------
-----~------
364.00
BALANCE
364.00
NUMBER
3071
0.00