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<br />MINNESOTA LAWFUL GAMBLING <br />.J;.GIOIO SCHEDULE CfD <br /> <br />Organization Name <br />'ead Broke Saddle Club <br />_ Ion1:h and Year <br />Mav 2002 . <br /> <br />Schedule C: . Lawful Purpose Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br />02/26/2002 05107/2002 6515 Hodges Badge eo <br />Purpose: 2002 Y on1:h Show <br />04/2312002 05110/2002 6516 CenteIVil1e Elementafy'" <br />Purpose: Donation Field trip <br /> <br />GAMBLING CONTROL BOARD <br />Lawful Purpose & Board Approved Expenditures <br /> <br />City <br />Forest Lake <br />Page <br />I of I <br /> <br />License Number <br />03800 <br />Amended elD? <br />No <br /> <br /> A A-? <br />TRC Code MIF Amount <br />--- <br /> at?) Both 28954 <br /> a(l) 13500.00 <br /> a(7) Both 55.00 <br /> <br />02/26/2002 05/31/2002 6550 WSCA <br /> <br />Purpose: 2002 Youth Show <br /> <br />1r~ (92-- <br /> <br />Total all Schedule C items $ <br />To 1ine41 ofFonn G-l <br /> <br />13 844,54 <br /> <br />Scbedule D: Board Approved Expenditures <br /> <br />Date Org, Check Check Check <br />Approved Date Nmnber Made out to <br /> <br />B A-? <br />TRC Code MIF Amount <br /> <br />Date Board <br />Approved <br /> <br />NONE THIS MONTH <br /> <br />For facilities intended mimarilv for uersons under 21: <br /> <br />Total all Schedule D items $ <br />To line 42 of Form G-I <br /> <br />Signatures <br /> <br />I declare that this Schedule CID is correct and complete to the best of my knowledge and belief <br />Signature Date <br />CbiefExecutive <br /> <br />Signature <br />Gambling Maooger <br />Mail to: Suite 300 South <br />1711 West County Road B <br />Roseville,:tvm 55113 <br /> <br />Dale <br /> <br />Gss 08/03 <br />