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2004-07-14 CC WS & Meeting
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2004-07-14 CC WS & Meeting
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<br />:. <br /> <br />- I <br /> <br />GAMBLING CONTROL BOARD <br />Lawful Purpose & Board Approved Expenditures <br /> <br />License Number <br />03800 <br />Amended 001 <br />No <br /> <br />MINNESOTA LAWFUL GAMBLING <br />LGIOIO SCHEDULE C/D <br /> <br />Organization Name <br />Dead Broke Saddle Club <br />Mon!handY= <br />November 2002 <br /> <br />SrnwweC: LawMP~p~e~wwfur~ <br /> <br />City <br />Forest Lake <br />Page <br />I of I . <br /> <br />Check <br />Date <br /> <br />Amoon1 <br /> <br />Check Check <br />Number Made out to <br /> <br />SrnwWe D: Board Approvw Expenw~ <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br /> <br />Date Org. <br />Approved <br />10/2212002 <br /> <br />1lI19/2oo2 6955 <br /> <br />10/2212002 11/26/2002 6958 <br /> <br />10/2212002 1lI30/2002 6985 <br /> <br />10/22/2002 1l!3012oo2 6986 <br /> <br />10/22/2002 1lI3012oo2 6987 <br /> <br />10/22/2002 11/3012002 6988 <br /> <br />10/22/2002 11/3012002 6989 <br /> <br />City OfLino Lakes a(8) 17.00 <br />Purpose: City Tax _.~_.,.v" . q;.r/eZ-- <br />CentervilleEl€_~l~Lb~~~;;'j~&j/~jj;UI;i~I~.QQ"3:./ <br /> <br />WBL Emergency FooiShelf="'.'-- a(2) 500.00 <br />Purpose: X-mas Donation <br />ST John's Chun:h <br />Pwpose: X-mas Donation <br />Centennial Connnnn Food Shelf <br />Purpose: X-mas Donation <br />Our Saviors Lutheran Cbnrch <br />Purpose: X-mas Donation <br />Forest Lake Helping Hand <br />Purpose: X-mas Donation <br /> <br />Total all Sch~e C items $ <br />To line 41 ofFonn G-l <br /> <br />IRC <br /> <br />A A-7 <br />Code MIF <br /> <br />500.00 <br /> <br />500.00 tJZr03 <br /> <br />500.00 <br /> <br />500.00 <br /> <br />6036.00 <br /> <br />Date Board <br />Approved <br /> <br />B A-7 <br />~ ,Code MIF Amount <br /> <br />NONE THIS MONTH <br /> <br />For facilities intended nriroarilv for nersons onder 21: <br /> <br />. <br /> <br />Tqtal all Schedule D items $ <br />To line 42 ofFonn G-l <br /> <br />a(2) <br /> <br />a(2) <br /> <br />a(2) <br /> <br />a(2) <br /> <br />Signa~ <br /> <br />I declare 1hat this' Schedule CID is correct and complete to the best of my knowledge and belief. <br />Sigoature Dale <br />CbiefExe<ulive <br /> <br />Sigoa!ure <br />Gsmbling M.nager <br />Mail to: Suite 300 South <br />1711 West County Road B <br />R=ville, MN 55113 <br /> <br />I __ <br /> <br />Dale <br /> <br />G.m 08103 <br />
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