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2003-02-12 CC Packet
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2003-02-12 CC Packet
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<br />MINNESOTA DEPARTMENT OF REVENUE G-I SCHEDULE B-2 <br />lAWFUL GAMBLING ACTIVITY REPORT OF GAMES PLAYED, Page 3 of 5 <br /> lOST or DESTROYED <br />license 03800: Dead Broke Saddle Club Game Type Report Month/Year <br />Premise 008: The Trio Inn PADDLE TICKETS PLAYED DECEMBER 2002 <br />MANUFACTURER's In-Play'Ideal Ideal Unsold Gross Prizes IDEAL CASH Long Removed <br />10 Part # SERIAL # Date Gross Prize Va lue Rece lots Value NET Deposit -Short Date <br />JM 30#TICKET 408237 12/13 30. 29~ O. 30.00 29.00 1.00 1.00 0.00 12/13 <br /> S <br />JM 30#TICKET 408238 12/13 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/13 <br /> S <br />JM 30#TICKET 408239 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408240 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408241 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408242 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408243 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> $ <br />JM 30#TI CKET 408244 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TI CKET 408245 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> $ <br />JM 30#TICKET 408246 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> $ <br />JM 30#TICKET 408247 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> $ <br />JM 30#TICKET 408248 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408249 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> $ <br />Jt~ 30#TICKET 408250 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br />JM 30#TICKET 408251 12/20 30. 29. O. 30.00 29.00 1.00 1.00 0.00 12/20 <br /> S <br /> Column I J K l M N <br />TOTAL THIS PAGE .......... line 16 O. 450. 435. 15.00 15.00 0.00 <br />Total from preVious page ......... O. 900. 870. 30.00 30.00 0.00 <br />TO TAX RETURN or to next page O. 1350. 1305. 45.00 45.00 0.00 <br />Gss 07/99 <br />
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