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MCR 299459
0912413-1 0031 OS/04/~09 001 6 Mistelianeous Cash Receipt nCR-Mistel laneous 299459 f1.05 CITY OF MIAMI BEACH 2 y y 4 5 9 No. i1sh ~CreditCard ~Check# $ ~ c7~ Raceivedof~'VC'~.~J'l~ /~C"z/J~/~~~ Address / / For E'~~ /' ,E?C ~~((~~~L~CJ~ ~fAC3~ (TFtIS INFORMATION MUST BE COMPLETED) Office of FinarLea Director Hp AccountNutabsr:C~/ ^,'~la!C~ -,-,_~3~~/`/,t'%<> !/ ~ ~~,~;' ~('/ Prepanr: ~ ~~~F ~ ~}T~`[2~' 6/ D.pt: e~ 77/ ~l(k''~ EXT:`~ '/ l J