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<br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWFUL GAMBLING ACTIVITY <br /> <br />6-1 SCHEDULE A <br />RECEIPTS and EXPENSES PER PREMISE <br /> <br />Organ.License Premise Number Premise Name <br />03800 Q08 The Tri~nn <br />Lines 1-1rr and 18-36 correspond to Form G-1 <br /> <br />Report Month/Year <br />NOVEMBER 2002 <br /> <br />1 Bingo. . . . . . . . . . . . . . . 1 <br /> <br />2 Raffles [ ] Exempt, Schedule-ER . 2 <br />3 Paddletickrts . . . . . . . 3 <br />4 SUB-TOTAL (Add Lines 1 through 3). . .. 4 <br />5 Proportional Part, Last Month G-1 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 Pu lltabs . . . . . . .... 9 <br />10 TOTALS (Add Lines 6 - 9) . . . . . .10 <br /> <br />(A) Gross (B) Prizes (C) Net <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> 1,920.00 1,856.00 64.00 <br /> 1,920.00 1,856.00 64.00 <br /> 0.00 0.00 <br /> 1,920.00 1,856.00 64.00 <br /> 10.00 10.00 <br /> 0.00 0.00 0.00 <br /> 44,197.00 35,571. 00 8,626.00 <br /> 46,127.00 37,427.00 8,700.00 <br /> <br />13 Beginning Inv ntory (Last Month Lir2 21) . <br />19 Gamblina Product Obtained, with Sales Tax. <br />20 Go/)ds A'Jailable (Line 18 plus! ine 19) . <br />21 Ending Inventory (excluacs Sales Tax). . <br />22 Goods Used (Line 20 minus Line 21) . . . <br />23 Compensation and Payro i I taxes . . ., " <br />24 Pel \ Hy ot' Interest on Taxes pa id during the month <br />25 Advert i sing. . . . . . . . . . . . . . . . . . . . <br />26 Accounting and Lcg~l Services. . . . . . . . . . . <br />27 Ban~ Charges and Miscellaneous Supplies & Expenses <br />28 Purchase/Repair of Furnishings or Devires for Gambling <br />29 Rent for the Purpose of Conducting Lawlul Gambling. <br />30 Ut. i 1 it i es. . . . . . . . . . . . . . . . . . <br />31 Theft and Liability Irsurance. . . . . . . . . . . . <br />32 Manager's Jand, Licen,es, Local Fee, Premises Permit <br />33 Cash Long(-) or Cash Short(+). . . . . . . . . . . . <br />34 lEPOSIT REQUIRED, Excess Cash Short Reimbursement(-) <br />35 Deposited Amount, Excess Expense Reimbursement(-). <br />36 TOTAL ALLOWABLE EXPENSES (Add Lines 22 tlwough 35) . <br /> <br />18 <br /> <br />1 ' <br /> <br />20 <br />21 <br />22 <br />2:\ <br />. 24 <br />25 <br />?6 <br />t!.7 <br />. 28 <br />29 <br />3n <br />31 <br />32 <br />33 <br />34 <br />. 35 <br />36 <br /> <br />Line numbe~s correspond to the Tax Return (Form G-l) line numbers. <br /> <br />Gss 7/99 <br /> <br />966.56 <br />388.58 <br />L3:j5.J4 <br /> <br />B32.~:2 <br /> <br />522.92 <br />3,873.88 <br />0.00 <br />0.00 <br />168.75 <br />0.00 <br />0.00 <br />400.00 <br />a.OD <br />0.00 <br />0.00 <br />1J3.00 <br />0.00 <br />o.on <br />5,163.5b <br />