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2003-03-12 CC Packet
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2003-03-12 CC Packet
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5/9/2006 2:57:48 PM
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<br />" <br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWF1I. GANBLING ACTIVITY ' <br /> <br />G-l SCHEDULE B-2 <br />REPORT OF GAMES PLAYED, <br />LOST or DESTROYED <br /> <br />Page 6 of 6 <br /> <br />License 03800: Dead Broke Saddle Club <br />Premise 008: The Trio Inn <br /> <br />Game Type Report Month/year <br />PADDLE TICKETS PLAYED JANUARY 2003 <br />Prizes IDEAL CASH Long Removed <br />Value NET Deposit - Short ...Dill <br />29.00 1.00 1.00 0.00 01/31 <br />29.00 1.00 1.00 0.00 01/31 <br />29.00 1.00 1.00 0.00 01/31 <br /> <br />MANUFACTURER's In-Play Ideal Ideal Unsold Gross <br />ID Part.' SERIAL # Date Gross Prize I!lYg Receipts <br />JM 30tlTICKET 408643 01/31 30. 29. o. .30.00 <br /> S <br />JM 30t1TICKET 408644 01/31 30. 29. o. 30.00 <br /> S <br />JM 30'TICKET 40864501/31 30. 29. o. 30.00 <br /> S <br /> <br />Column I J K L' M N <br />TOTAL THIS PAGE .......... Line 16 ,0. 90. 87. 3.00 3.00 0.00 <br />Tota 1 from previous page . .'....... o. 2250. 2J75. 75.00 75.00 0.00 <br />TO tAX RETURN or to next page .... O. 2340. 2~62. 78.00 78.00 0.00 <br />Gss 07/99 <br />
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