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<br />~.. <br /> <br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWFUL GAMBLING ACTIVITY <br /> <br />G-l SCHEDULE A <br />RECEIPTS and EXPENSES PER PREMISE <br /> <br />Organ.License Premise Number Premise Name <br />03800 008 The Trio Inn <br />Lines 1-10 and 18-36 correspond to Form G-l <br /> <br />Report Month/Year <br />DECEMBER 2002 <br /> <br />1 Bingo. . . . . . . . . . . . . . . . 1 <br />2 Raffles [ 1 Exempt, Schedule-ER " " 2 <br />3 Paddletickets . . . . . . . . . . . . . . 3 <br />4 SUB-TOTAL (Add lines 1 through 3). . . . . 4 <br />5 Proportional Part, last Month G-l Line 6C. 5 <br />6 Adjusted Sub-Total (line 4 minus Line 5) . 6 <br />7 Income from Interest and Dividends . 7 <br />8 Tipboards. . . . . . . . . 8 <br />9 Pulltabs . . . . . . . . . . . . . . 9 <br />10 TOTAlS (Add lines 6 - 9) . . . . .. .10 <br /> <br />(A) Gross <br />0.00 <br />0.00 <br />1,830.00 <br />1,830.00 <br />0.00 <br />1,830.00 <br />5.34 <br />0.00 <br />49,202.00 <br />51,037.34 <br /> <br />18 Beginning Inventory (last Month line 21) . <br />19 Gambling Product Obtained, with Sales Tax. . . . . . . <br />20 Goods Available (line 18 plus line 19) . . . <br />21 Ending Inventory (excludes Sales Tax). . . <br />22 Goods Used (line 20 minus line 21) . . . . . <br />23 Compensat ion and Payro 11 taxes . . . . . . . . . . . <br />24 Penalty or Interest on Taxes paid during the month <br />25 Advert i sing. . . . . . . . . . . . . . . . . . . . . <br />26 Accounting and Legal Services. . . . . . . . . . . <br />27 Bank Charges and Miscellaneous Supplies & Expenses. . <br />28 Purchase/Repair of Furnishings or Devices for Gambling. <br />29 Rent for the Purpose of Conducting lawful Gambling. <br />30 Ut i 1 it i es. . . . . . . . . . . . . . . . . . . . . . <br />31 Theft and liability Insurance. . . . . . . . . . . . <br />32 Manager's Bond, Licenses, local Fee, Premises Permit <br />33 Cash Long(-) or Cash Short(+). . . . . . . . . . . . <br />34 DEPOSIT REQUIRED, Excess Cash Short Reimbursement{-) <br />35 Deposited Amount, Excess Expense Reimbursement(-). . <br />36 TOTAL ALLOWABLE EXPENSES (Add lines 22 through 35) . <br /> <br />(8) Prizes (C) <br />0.00 <br />0.00 <br />1,769.00 <br />1,769.QO <br />1,769.00 <br />0.00 <br />42,981. 00 <br />44,750.00 <br /> <br />. . 18 <br />. 19 <br />. 20 <br />. 21 <br />. . 22 <br />. 23 <br />. 24 <br />. 25 <br />26 <br />27 <br />. 28 <br />29 <br />30 <br />. . . 31 <br />. 32 <br />. 33 <br />. 34 <br /> <br />. . . . . . . 35 <br />. . 36 <br /> <br />. . . . <br /> <br />. . . . <br /> <br />line numbers correspond to the Tax Return (Form G-l) line numbers. <br /> <br />Gss 7/99 <br /> <br />Net <br />0.00 <br />0.00 <br />61. 00 <br />61.00 <br />0.00 <br />61.00 <br />5.34 <br />0.00 <br />6,221. 00 <br />6,287.34 <br /> <br />832.22 <br />1,298.88 <br />2,131.10 <br />1,230.58 <br />900.52 <br />3,667.90 <br />0.00 <br />0.00 <br />0.00 <br />7.99 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />-35.00 <br />0.00 <br />0.00 <br />4,541.41 <br />