Family Size 2	SAN ANTONIO URBAN MINISTRIES				MONTH___________		YEAR_____
	AFTER SCHOOL KARE PAYMENT VOUCHER
		__________________			________________________
CHILD'S NAME		ACCOUNT #			SCHOOL
		__________________
CHILD'S NAME		ACCOUNT #
_____________________		__________________
PARENT'S NAME		STREET ADDRESS
MAIL PAYMENT TO:				AMOUNT DUE:			$354.00
				AMOUNT DUE AFTER THE 5TH:			$394.00
SAN ANTONIO URBAN MINISTRIES				AMOUNT ENCLOSED:			___________
AFTER SCHOOL KARE				CHECK NUMBER:			___________
PO BOX 17469
SAN ANTONIO, TX 78217				YOUR CANCELLED CHECK IS YOUR RECEIPT
________________________________________________________________________________________
Family Size 2	SAN ANTONIO URBAN MINISTRIES				MONTH___________		YEAR_____
	AFTER SCHOOL KARE PAYMENT VOUCHER
		__________________			________________________
CHILD'S NAME		ACCOUNT #			SCHOOL
		__________________
CHILD'S NAME		ACCOUNT #
_____________________		__________________
PARENT'S NAME		STREET ADDRESS
MAIL PAYMENT TO:				AMOUNT DUE:			$354.00
				AMOUNT DUE AFTER THE 5TH:			$394.00
SAN ANTONIO URBAN MINISTRIES				AMOUNT ENCLOSED:			___________
AFTER SCHOOL KARE				CHECK NUMBER:			___________
PO BOX 17469
SAN ANTONIO, TX 78217				YOUR CANCELLED CHECK IS YOUR RECEIPT
________________________________________________________________________________________
Family Size 2	SAN ANTONIO URBAN MINISTRIES				MONTH___________		YEAR_____
	AFTER SCHOOL KARE PAYMENT VOUCHER
		__________________			________________________
CHILD'S NAME		ACCOUNT #			SCHOOL
		__________________
CHILD'S NAME		ACCOUNT #
_____________________		__________________
PARENT'S NAME		STREET ADDRESS
MAIL PAYMENT TO:				AMOUNT DUE:			$354.00
				AMOUNT DUE AFTER THE 5TH:			$394.00
SAN ANTONIO URBAN MINISTRIES				AMOUNT ENCLOSED:			___________
AFTER SCHOOL KARE				CHECK NUMBER:			___________
PO BOX 17469
SAN ANTONIO, TX 78217				YOUR CANCELLED CHECK IS YOUR RECEIPT