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Form ST 105 ln(liau;l I)t'pa11111vill0I k12t�llut
<br />"lair 14,1111 S91l,S It u's 0General Sales lax 1'.Sl1ii1plioll CelAific Ile
<br />Ifllhsn;l it, si,lI.ICiI trail nmtrh;mt. ;it It I1n,lIlc•�,t"♦ 14k-;tlyd ulit,ldr In(1iana Isar Inr III i, rrrlillrstr..I tic rlatIIIod CwIIIIalinn roll t €� .112„�\I'd IV% IIT, II;uI,1
<br />F\011lpliurl ,euulr of ullIn quit', ;[it, 111.1 tali,[ lilt, purrtl:l,t•, Mum Iftili;II)j tcn ICIJ, 'I'lliN cxctupliou cciAlicale ran rint hr' k�,ttt'd [III- Iltc
<br />purchu.r nl' (gililtlat, .fchic.lo. «irfr'Ct•r.(rfi, lit, 40-rNJl, 11(lrrha,cl InlJc1 No irpi+lvied %6111 tilt, hrparrmt-nl „I Ilrtcnm' „I the .t1, pl,ggi;Ilr I,I iri;'
<br />.ttllhcrl it) tit Ihr purch;t.CI *, ,Istr of (r,idenco.
<br />hilt-" lax 1111,114 lit, r11,11•I;t'11 uulrss 1t1 IIlI11rn111dmi ill P;14'lt sceli(III is I'tllk Comph-It'd hi Ilit' puk'CjI;IS I% I'#Jr Ila,t r, nol ;1111r I, pll,rlel:' ;,I! woullr,I
<br />inkItillation Ilimi 11:1. (hr ta\ and Ina, 1110 ;I Chkinl for rc•f llid II't)lIII( ;A- I till.) d1let'dt n ith tllc f q)pI lrlcrll 411 kr,rnllt•.
<br />�a1ni 1,i t i:It'ha,t•r Youth Service Bureau of St. Joseph County, Inc.
<br />2.222 Llncolnway West -_- { ilt South Bend
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<br />vt'urclrlu'l 11111,t 1114IN idC milli111m11 tit Isn; 11) nou11)"r hrlI
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<br />['lrscish' �ulll 1r1Ili;Ena 1{t'zl,ICtcd k t;,it Mt'tcilant•, ('vitil'icatr
<br />'I ll):Illd I'M \nlnhty a„lilmit 4111 turn ('mitiial<........ ....
<br />to If not WN11Crrd ttith tlu' Irtdi;ula 1)(M. 1110tidC t, M St;lle lat
<br />li) \llmhcr Boni anuihet SI;Itr..
<br />Set' ilist rueliuns fill the ro vi-se side. i1' roll rlrl not hat'c t'tllx'I' Iltmi11ty.
<br />I IUa t II> 111y1E,)
<br />slur .IN rp 46628
<br />1443569000 IN
<br />sl.i.le II>1r
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<br />C IN llli, a ® hLolkri pmelm,r c'\t'mptiors rr,litrtt I,r ;1 0 tilfph• p1Jtcll;l,t:' rWIIIIlI ll Ik'gIlr,l'.' (I-llrrl, t,nc )
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<br />to lk>cripliml nl ik'm, tit hc' purchau•11
<br />[ pulrhn,cl 1utr.[ incli,'att' 1110 ippl• 1" .•\Cmptwll Isrinp t,[;little;[ Till Illi. inn:lrlcr. tnc�,'h ,Ink. to ,•tpi:linl
<br />tcllt)Ik.,alt'I. Ill` lnalullartill i r III] t'(1.Mile unh
<br />❑ ti;dC u! 11IM111l it 'Mt ill;,' M1 wll wl), I1411,, mid I'41111p,ttt•nl ((I he tl, d dilrt•Ilt it] dilcc( lil'tithlt•litilr.
<br />® Salt,. it, tlnnllrulir nri ollilatinns I'hlinlinL c tcnsillinn pur,nanl u, Salt,, I:n Infilnnalilln liullriin it Eu,
<br />t,\lav lint hr incd I'ur peramal hotel wivIll, and n oak.I
<br />❑ S;t[ca cif 1411tgihlt' llctsornll prupcilIN pirtlollsinacfc tINVJ tglr(ticJ Ilion tiff p•^lcrnl) ]It prr,%idilm. pulpit' Iranspol'Ialiltn ' III o, Itk• ('SI)1l1't:
<br />1 pt'r,uri u1 , „lpolatitltl tt lilt i, hanlinr nnllt•r willconr ci,r', lilmor c;1114-1 :unitt)ritt. nr ha, ;I runllact a, .1 sehnnl huff oper•altor. IIIII'l
<br />plosid2 dwil "tits of 1:11)a in lira Ill' ;I Slaw Il)" ill tirrlion It I_ 1 `till(] 1'tt
<br />© sak,. w pCI,I,n,, tk-ellpaliMI:1111 s'n•;;I}trJ ;r, farlrtr'i,, 1" Ix• u>t'd Ifirrilly )II pltXILICd0a1111' ul;rirnhnrnf Is1I$d1ILt, 1,5l ,al,•
<br />NOW: A Immrr nut puurs,irl}t a -stair I{o,nlr„ I J,-cmN01 lna) vntrr a HIM I,[ a SSrr Ill lids Ill ;i Slaw 1111i ill sok'n ,ll ;II
<br />© Salt,, to a emilrac'lor fil rwmpk pniic,t> I,11r11 a, 1lohlic ,Chool,, r 0wrltulc'nl. In msuplltlit,l
<br />© SaIC, its intilunsl Gm'rrnmvillal E llits layrnr'ic+, cilirc, tnitn,, nlnuiiilialitir,. puhlii ,chul,l,, alid asow m6cr,ilir,l
<br />❑ Sak•, toIhr I`:niht(i SI:III's I'LwIt•rnl (:nsernnlcnl 'Jilm ;1}xn.t n11110,
<br />Hole: A I S (il,ccrrnncnl aertw'v ,h1,n1,1 c•lurr it, I�rilrlal ldentifii:Iti,a1 Nimik'r II II 0l In Sroion lit ul hrtl ufit Sl.n,- 11M
<br />❑ 011u'r - rtpiili ..
<br />I lit'tt'11% t•,•rtil 1n1Jrr tilt• prrlallir, of prtitllc IIIA1 IIIt' plllpilty purilla,rtl lit 1110 ill,' ill Ihil. 15 lu h,• Il,,,i its! ;tn ,'trmlr,
<br />11111I1I,+C pnI Vl: Elie 1„ IIM "talc' (ills,. 1(C1;111 S:Ih', IiL\ �1i [, inch :I( (1 �, alld Illy ilvm p111"ll;la't11, 1101 a 0016. \ Clil,'I', 1%a[L'I,'kill, Ill .111, 1,11t
<br />I rltniirnt ul) urliirr,lantlinp that IIk3Hlsl'. iI'rlilt'1' c n,'4r1, e'111 nl MWII MIIII, an(I(nl IMMILIlrnl mo „ f Ilu, hest, lilt' 1):I,IIi1:1Elt
<br />:1ITLIA11 Illy ho,irlr„ rnli(t I rcpt,r,r111 Ill 11f0 iurlhl,itiun ut I;Is, ilitrlt',I, ;Ind tied ;tntl/nr i 11m;n;tl 1)c1k;llsii,.
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<br />�+ �1 L'll;ll till rH I't Eti h;l„•i :.,. �,{ � L'.;,�.�'``__�_,^ ._ i - i
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<br />1'1;n1rd Nu11t,,.Jennl(er icker�rrlg I.i111 Ex _ ..._.___1ve,Direclor-
<br />'Ml' IIIII1;111;1 l lCpailllk'm Iff 1jl'tl'illn' Ina) r1,'Iln,',1 tl'(illc'atlt 111 n) Fi L'i.tr; Il li 111 ItI anlillh'r ♦1;114' II l,lil :n t' an nllr-lti-,fa#r pmih:S,c'i.
<br />SOler mils( keep This ccrtiiicmV lilt Tilt, lu sulJpurl csrtnlit .ti;llrti.
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