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<br />MINNESOTA LAWFUL GAMBLING <br />LGIOIO SCHEDULE cm <br /> <br />Organization Name <br />Dead Broke Saddle Club <br />Month and Year <br />Januarv 2006 <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 Approvea Expenditures <br /> <br />License Number <br />03800 <br />Amended CID? <br />No <br /> <br />A A-7 <br />TRC Code MJF <br /> <br />Amount <br /> <br />12/27/2005 1/20/2006 9165 City ofSt Paul <br /> <br />a( 8) <br /> <br />140.00 <br /> <br />Purpose: <br />12/27/2005 1/24/2006 9169 Big Dee's Tack & Vet Supply a( 7) Both <br />Purpose: 2006 Youth Show Inv #442679 A <br />12/27/2005 1/24/2006 9170 City ofCenterville a(10) <br />Purpose: Donation Parks 40% Tax <br /> <br />279.60 <br /> <br />9500.00 .... <br /> <br />Total all Schedule C items $ <br />To line 41 ofFonn G-l <br /> <br />9919.60 <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 MIF <br /> <br />Amount <br /> <br />Date Board <br />Approved <br /> <br />NONE THIS MONTH <br /> <br />For facilities intended primarily for persons under 21 : <br /> <br />Signatures <br /> <br />I.declare that this Schedule elD 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 />:S~ <br />