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<br />tf~ <br /> <br />Organization Name <br />Gambling Location <br />MonthlYear <br /> <br />CITY OF CENTERVILLE <br />MONTHLY GAMBLING SUMMARY <br />D~A\:> ~~ ~~ G..v<,;> <br /> <br />'i""1t T~u Z',.J,.J <br />'7..\ Q1- <br /> <br />TEN PERCENT NET PROFIT CALCULATION <br /> <br />a) Net Receipts - T otallines 2c, 3c, 8c, 9c <br />(per schedule A if more than 1 site) <br /> <br />b) Sums of lines 22 thru 33 <br />(per schedule A if more than 1 site) <br /> <br />c) Line a - line b <br /> <br />Miscellaneous Deductions(for this site only) <br />1. Pulltab tax to distributor l-\ \ ~ <br /> <br />2. Combined receipts tax for this site <br />3. Federal Taxes (per schedule C/O) <br />4. State Gambling Tax (per line 11) <br /> <br />"2.\5\ <br />< \'!;'/;D) of,- <br />1.\ <br /> <br />d) Total Miscellaneous Deductions for this site <br /> <br />e) Line c - line d <br /> <br />f) Line e x 50% <br /> <br />AMOUNT DUE <br /> <br />'I/:: S~S <St1~ if I.J"';)~O \>ucT ~fvtJO <br /> <br />., <br /> <br />9, '::ll<=6 <br /> <br />1..\-,1.\'1 <br /> <br />~1,;z..'1 <br /> <br />(.,'1'1 <br />"2- q-:, 5' <br /> <br />\,"\l,~ <br />