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S DEPARTMENT OF DEVZWFMENTAL SERVTaM9"4"O.' <br /> NAME OF DEPARTMENT CHECK NO. <br /> �� �R_EV�OLVING FUND DISBURSEMENT VOUCHER <br /> I�—ues�c./C ffc�TH �,cv>CC3� y �j <br /> DATE G� /� $ <br /> rlste� sign both rbpirr or the <br /> wacinzeC Rt-tolvitdg Pond Receipt RECEIPT OF THE ABOVE AMOUNT FOR THE PURPOSE <br /> a-Ike ?it[irs to AQOtg. Section, INDICATED IS HEREBY ACKNOWLEDGED <br /> J(•c� . Cm;'8 YovAble <br /> rs — 3C>Y-SrtseeYtss 3rd alcor. South, <br /> FORM 4.38 + JE(•iSIGNATURE <br /> USE ONLY WHEN REQUIRED FOR CLAIM TO REIMBURSE REVOLVING FUND. PREPARE AS CARBON COPY OF CHECK. <br /> 05 36320 <br />