HomeMy WebLinkAboutHurley, Kathleen F. - 16-10-29-04-04-018.000RECEIPT
220 Barrett Law Fund CITY OF CARMEL 05/10/2004 019483
OFFICE OF CLERK - TREASURER
Total: $580.00
For the Sum Of: Five Hundred Eighty Dollars And No Cents
Received from: hurley
On Account of: barrrett law /brookshire north
Payment Type: Check
Remitter Signature
Authorized Signature 4-z.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989
WILLIAM J°:.OR':.KATHLEEN F. HURLEY;,
12818 ANDOVER DRIVE ' ?;,'' 1f,
CARMEL. ;'IN 46033`' =;'!:.
O OELUxE WALLET OR DUPLICATE
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