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<br />MINNESOTA DEPARTMENT Oll' REVENUE <br />LAWFUL GAMBLING ACTIVITY <br /> <br />G-l SCHEDULE B-2 <br />REPORT OF GAMES PLAYED, <br />LOST or DESTROYED <br /> <br />License 03800: Dead Broke Saddle Club <br />Premise 008: The Trio Inn <br /> <br />MANUFACTURER's In-Play Ideal Ideal Unsold <br />ID Part # SERIAL # Date Gross Prize Value <br /> <br />Jl1 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />e}1;1 30#TICKLT <br />S <br />JIvl 30#TICKET <br />S <br />J1\'1 30#'TICKET <br />S <br />em 30#TICKET <br />S <br />]1.1 30#TICKET <br />S <br />JM 30#TICKET <br /> <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br />JM 30#TICKET <br />S <br /> <br />407758 11/08 <br /> <br />407759 11/08 <br /> <br />407760 11/08 <br /> <br />407/61 11/08 <br /> <br />407762 11/08 <br /> <br />407763 11/08 <br /> <br />407764 11/08 <br /> <br />4 7765 lJ./08 <br /> <br />407766 11/08 <br /> <br />407767 11/08 <br /> <br />407768 U/15 <br /> <br />407769 11/1S <br /> <br />407770 11/15 <br /> <br />407771 11/15 <br /> <br />407772 11/15 <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />30. <br /> <br />Column <br /> <br />TOTAL THIS PAGE .......... Line 16 <br /> <br />Total from previous page <br /> <br />TO TAX RETURN or to next page .... <br /> <br />Gss 07/99 <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />2S. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />29. <br /> <br />o. <br /> <br />o. <br /> <br />o. <br /> <br />o. <br /> <br />o. <br /> <br />O. <br /> <br />O. <br /> <br />O. <br /> <br />O. <br /> <br />o. <br /> <br />O. <br /> <br />O. <br /> <br />O. <br /> <br />o. <br /> <br />I <br /> <br />Page 2 of 5 <br /> <br />Game Type Report Month/Year <br />PADDLE TICKETS PLAYED NOVEMBER 2002 <br /> <br />Gross <br />ReceiPts <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30 00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />O. <br /> <br />30.00 <br /> <br />Prizes <br />Value <br /> <br />29'.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />25.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />29.00 <br /> <br />IDEAL <br />NET <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1 00 <br /> <br />1.00 <br /> <br />L.OO <br /> <br />1.vU <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />CASH <br />Deposit <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />1. 00 <br /> <br />J K L M <br /> <br />O. <br /> <br />450. 435. 15.00 15.00 <br /> <br />O. <br /> <br />450. 435. <br /> <br />O. <br /> <br />900. <br /> <br />870. <br /> <br />J.5 . 0 0 15 . 0 0 <br /> <br />30.00 <br /> <br />30.00 <br /> <br />Long Removed <br />-Shor~ Dat~ <br /> <br />0.00 11/08 <br /> <br />0.00 11/08 <br /> <br />0.00 11/08 <br /> <br />0.00 11/08 <br /> <br />0.00 1l/08 <br /> <br />0.00 n/08 <br /> <br />0.00 n/08 <br /> <br />0.00 n/08 <br /> <br />0.00 11/0B <br /> <br />0.00 n/08 <br /> <br />0.00 11/1: <br /> <br />0.00 11/1S <br /> <br />0.00 11/15 <br /> <br />0.00 11/15 <br /> <br />0.00 11/15 <br /> <br />N <br /> <br />0.00 <br /> <br />0.00 <br /> <br />0.00 <br />