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<br />~D:12/09/99 <br />LICENSE NUMBER: B0013 <br /> <br />STATE OF MINNESOTA <br />GAMBLmGCONTROLBOARD <br />RENEWAL APPLICATION FOR <br />BmGO HALL LICENSE - LG300 <br /> <br />NAME OF APPLICANT: Pot O'GoId <br /> <br />Names of all owners, officers, directors, partners, managers, supervisors, and persons or entitities with a <br />direct or indirect financial interest of 5% or more, as prescribed by Board rule. <br />Each person named must fill out a separate Bingo Hall Personnel Information, Form LG315 <br /> <br />l!AME <br />Goldie atherine Siedow <br />Total Number of personnel currently registered: 1 <br /> <br />TITLE <br />(!>wner/Part <br /> <br />. <br /> <br />. <br />