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<br />Organization Name <br />Dead Broke Saddle Club <br />Month and Year <br />Anril 2003 <br /> <br />Schedule C: Lawful Purpose Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br />03125/2003 04!O1/2OO3 7323 Lino Lakes ~tary School <br />Purpose: W% Donation <br /> <br />City <br />Forest Lake <br />Page <br />I of 1 <br /> <br />GAMBLING CONTROL BOARD <br />Lawful Purpose & Board Approved Expenditnres <br /> <br />License Number <br />03800 <br />Amended 001 <br />No <br /> <br />- MINNESOTA LAWFUL GAMBLING <br />LGIOIO SCHEDULE C/D <br /> <br />A A-7 <br />'IRC Code MIF Amount <br />--- <br />a( 7) Both 3000.00 <br /> <br />0312512003 04/0112003 7324 Forest Lake FF A a(7) Both <br /> Purpose: FFA Horse Show <br />03/2512003 04/02l20(}3 7325 City of Centerville a(10) <br /> Purpose: Bike Racks <br />03125!2003 04/17/2003 7357 City ofLino Lakes a( 8) <br /> Purpose: City Tax <br />03125/2003 0413012003 7399 MN High School Rodeo a( 1) <br /> Purpose: 2003 Rodeo <br /> <br />1100.00 <br />500.00 &> Z ,.,03 <br /> <br />19.00 <br />6000.00 <br /> <br />Total all Schednle C items $ <br />To line 41 ofFoon G-I <br /> <br />10619.00 <br /> <br />Schedule D: Board Approved Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Number Made out to <br /> <br />-- <br />. <br /> <br />Date Bomd <br />Approved <br /> <br />B A-7 <br />'IRC ,Code MIF Amount <br /> <br />NONE THIS MONTH <br /> <br />For l3cilities intended nrimarilv for persons under 21: <br /> <br />, <br /> <br />Total all Schednle D items $ <br />To line 42 ofFoon 6-1 <br /> <br />Signatures <br /> <br />I declare that this Schedule CID is correct and complete to the best of my knowledge and belief. <br />Signalme Dole <br />CbiefElreaItm <br /> <br /> <br />Signalme <br />Gambling Manage< <br />Mail to: Suite 300 South <br />1711 WcstCountyRoadB <br />RoseviUe, MN 55113 <br /> <br />Dole <br /> <br />a.. 08103 <br />