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CITY OF SOUTHLAKE
667 N. CARROLL A PHONE 481 -558 `
SOUTHLAKE, TEXAS 76092 r
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• DATE �' 1
RECEIVED OF / '
ADDRESS
AMOUNT
gi lWin
I
CD
MON NB
III ORDER
DEPARTMENT ` 0O 410/66
RECEIVED BY
WHITE: Customer
CAN Department
• PINK: Cash ReCoipt
I GOLDEN ROD: Audit
N9 27784