|
� • .
<br /> . , ' .
<br /> - __ __ - _, --- .. .::......:. __- ,........,, __ ,......:.:,.. __ ..r...._..�...__-.,�.......,,,._
<br /> _....... . . :.... . . .
<br /> ..._ ,..
<br /> , �
<br /> RAYMO..,.:,.: ..-__ .:...:.:.....
<br /> .__ ....... ..,. . ,
<br /> I�_-,..-..::... ._,.,....:.
<br /> ND W. TERTOCHA, JR.
<br /> 2266 '€
<br /> i!�I CAROL TERTOCHA
<br /> � J
<br /> �!�; 685 E. GROVE RD. 423-1066 �
<br /> 1' / ` 70-70/711
<br /> ��-� DECATUR, IL 62521 -�/ J I��- `'z ��� �
<br /> Il i --�----- �i�
<br /> ;- --� � ���
<br /> i;�� ���,,<>,��� �� ,
<br /> ,� — �'�'�-`=`,---------� �
<br /> - URDP.R(�I � ..6 Q
<br /> li .
<br /> i If�li ;� <
<br /> ,
<br /> � � _DOLLARS `
<br /> ' I
<br /> �_' ----- —
<br /> LI�,,'I _-F,R �f '' -------
<br /> i,�� AMEZICA�F3ank ���mlPtic� _,�- ��
<br /> Flral ol Pm�rlca Bonk�Oec�Nr,N.P l �tr
<br /> q1', n���m,m������ e ��"�,Y� �j
<br /> II^� _��____.__—__— ___
<br /> li��i �4FMCl__—_—._._---__--_--_
<br /> � 2266
<br /> •0 ? �, L00 706�: 000 3 60���4 LO L��■
<br /> ,�,� � _
<br /> � • ,_ ,�,...-�....__ .,�....�,_- - -- �.:.�.,- -� ..:,_ _ . ___ � -.,".
<br /> i� _ _ � - - - - --. - -- -_ :a,,,.�
<br /> ,. _. .�.._.T�:�___:,..mm...�_�...__,;�..�_,�-
<br /> __ ,�.,.....�m. __ ...�,.:.�, _
<br /> , .. .
<br /> �._..,��.:.,.. . . .._.
<br /> _ :�..�.., .,,.. -
<br /> �----- --- --
<br /> i
<br /> White Copy-Customer Yellow Copy-Dept. Pink Copy-Audit
<br /> RECEiPT
<br /> ; CITY OF DECATUR
<br /> DECATUR, ILIINOIS
<br /> ;
<br /> ,1
<br /> jJ ` �"'" C�-�
<br /> ' onrE ,i.,.x_;�.c,t�.� �,J iv c,,.,.�_ �
<br /> RECEIVED J j� � /� L�
<br /> FROM '�� ''-- �_.r>.-1 1 ��C, l C..i',
<br /> L �
<br /> AUDRESS
<br /> �/'� � � ' - ��; C�/�(.�t:'��- I
<br /> �
<br /> O�antity OESCRIPTION AMOUNT
<br /> i
<br /> i Cr L
<br /> � i C l(, p • ! }•' ���? .-.-.��
<br /> r
<br /> I
<br /> I
<br /> �
<br /> �
<br /> i
<br /> �
<br /> i
<br /> i
<br /> i
<br /> i
<br /> i
<br /> i —
<br /> !
<br /> � r'Z:
<br /> i
<br /> r:��;� _.
<br />
|