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RECEIPT
CITY OF CARMEL
DEPARTMENT OF COMMUNITY DEVELOPMENT
FUND N(2. 20838
CARMEL, IND., Uc-- 19S-
RECEIVED FROM Coors. c-wl/ e. Wi.ze.C� °Sa v�
THE SUM OF )("(,moo _DOLLARS
100
ON ACCOUNT OF �vYl em--v
AUTHORIZED SIGNATURE