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<br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWFUL GAMBLING ACTIVITY ' <br /> <br />G-l SCHEDULE F <br />GAMBLING FUND RECONCILIATION <br /> <br />14 9.365.43 <br />15 0.00 <br />16 0.00 <br />17 0.00 <br />18 0.00 <br /> 19 9.365.43 <br /> <br />Organization Name License Number <br />Dead Broke Saddle Club 03800 <br />GamblinQ checkinQ aCCQunt <br />1 End-of-month checking account balance from statements <br />2 Deposits made during the month not included in line 1 <br />3 Add 1 i nes 1 and 2 . . . . . . . . . . . . . . . <br />4 Checks written during the month not included in line 1. <br />5 RECONCILED BANK BALANCE (line 3 minus line 4) .... <br /> <br />Other funds not included in CheckinQ Balance <br />6 Starting banks for games. . 6a 8.300.00 <br />Reimbursment after monthend. 6b 0.00 <br />Monthend cash balance in starting banks. 6 <br /> <br />8.300.00 <br /> <br />7 Total ending inventory (G-l line 21) 7 <br /> <br />3.985.68 <br />0.00 <br />0.00 <br /> <br />8 Deposit after month-end for Games in G-l 8 <br /> <br />9 Total in Savings & Other funds . . . 9 <br /> <br />10 Excess shortages (G-l, 34) and prior <br />reimbursement due for excess shortages 10 <br /> <br />0.00 <br /> <br />11 Fund Loss. (LG-250) . . . . l1a <br />Refund Due (G-7430) . . . . llb <br />Open-Game prizes,by check. lIe <br />Prizes bought, not awarded. lId <br />Other additions. . . lle <br /> <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Tota 1 11 <br /> <br />0.00 <br /> <br />12 Add lines 6, 7, 8, 9, 10, 11 . . <br />13 Add lines 5 and 12 . . . . . . . <br /> <br />Unoaid ObliQations and Ooen Game Deoosits <br />14 Tax from G-l line 13 and any <br />prior months taxes. . . . . . <br /> <br />15 Deposits for games still in play <br />16 Loaned amounts included in bank statement. <br /> <br />17 Product part of unpaid invoices. <br /> <br />18 Other subtractions . <br /> <br />19 Add Lines 14 through 18. <br /> <br /> <br />I...CWY\ <br /> <br />12 <br />13 <br /> <br />12.285.68 <br />82.439.82 <br /> <br />20 <br />21 <br />22 <br /> <br />73.074.39 <br />73.074.39 <br />0.00 <br /> <br />612/464-7225 <br />