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<br />Organization Name <br />Dead Broke Saddle Club <br />Month and Year <br />September 2005 <br /> <br />Schedule C: Lawful Purpose Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br /> <br />City <br />Forest Lake <br />Page <br />1 of 1 <br /> <br />GAMBLING CONTROL BOARD <br />Lawful Purpose & Board Approved Expenditures <br /> <br />License Number <br />03800 <br />Amended C/D? <br />No <br /> <br />MINNESOTA LAWFUL GAMBLING <br />LGIOIO SCHEDULE em <br /> <br />A A-7 <br />TRC Code M/F <br /> <br />Amount <br /> <br />8/23/2005 9/19/2005 8946 City of Hugo a( 4) <br /> Purpose: Fire Dept <br />9/19/2005 9/19/2005 8947 City of Centerville a(10) <br /> Purpose: Replace Check#8764 $2500.00 <br />9/27/2005 9/27/2005 8949 Project Hope North Inc a( 6) <br /> Purpose: For Family Of 5 <br />9/27/2005 9/27/2005 8950 Gordan Nelson 2005 a( 5) <br /> Purpose: Donation <br /> <br />2500.00 <br /> <br />0.00 <br /> <br />500.00 <br /> <br />2000.00 <br /> <br />Total all Schedule C items $ <br />To line 41 of Form 0-1 <br /> <br />5000.00 <br /> <br />Schedule D: Board Approved Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br /> <br />B A-7 <br />TRC Code M/F <br /> <br />Amount <br /> <br />Date Board <br />Approved <br /> <br />NONE TIllS MONm <br /> <br />For facilities intended primarily for persons under 21 : <br /> <br />Signatures <br /> <br />I.declare that this Schedule e/D is correct and complete to the best of my knowledge and belief. <br />SIgnature Date <br />Chief Executive <br /> <br />Total all Schedule D items $ <br />To line 42 of Form G-l <br /> <br />Signature <br />Gambling Manager <br />Mail to: Suite 300 South <br />1711 West County Road B <br />Roseville, MN 55113 <br /> <br />Date <br /> <br />Gss 11/04 <br /> <br />6t} <br />