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i <br /> White Copy,;Customer Yellow Copy-Dept. Pink Copy-Audit <br /> RECEIPT <br /> CITY OF DECATUk <br /> DECATUR, ILLINOIS <br /> DATE s�Z 20 <br /> RECEIVED <br /> FROM �. <br /> I •, <br /> ADDRESS S`'► ZS I��.FS �RibC+� 1 . <br /> i <br /> Cluantity DESCRIPTION AMOUNT <br /> 720 ,mac=:5 O — <br /> Pl,J <br /> v- 0 47-6 Asncg; EN <br /> DEPARTMENT <br /> i <br /> i No 66167 RECD BY 1$4±:y ZX <br />