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White Copy-Customer Yellow Copy-D t. Pink Copy-Audit <br /> RECEIPT <br /> CITY OF DEC TUR <br /> DECATUR, ILLIN IS <br /> DATE yp <br /> RECEIVED <br /> FROM <br /> ADDRESS z�o �0 ST, <br /> Ouantity DESCRIPTION AMOUNT <br /> AN1.1CXai coal <br /> er- <br /> Wo 2,9- Z <br /> A-,u�►� —,o,� Fb` ul,�r v�D <br /> �J�t To N[AT�R .4C�R��tSM���IT <br /> DEPARTMENT <br /> N2 66140 REC'D BY <br /> i <br />