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CITY OF CENTERVILLE <br /> MONTHLY GAMBLING SUMMARY <br /> Organization Name LEND &ROVE. SfCGLE <br /> Gambling Location T -c T210 INJJ <br /> Month/Year Vqq <br /> TEN PFRCFNT NET PROFIT CALC'111 ATIOM <br /> a) Net Receipts - Total lines 2c, 3c, 8c, 9c 4, IA4 <br /> (per schedule A if more than 1 site) <br /> b) Sums of lines 22 thru 33 7, lee <br /> (per schedule A if more than 1 site) <br /> c) Line a - line b < I ,qI �) <br /> Miscellaneous Deductions(for this site only) <br /> 1. Pulltab tax to distributor - <br /> 2. Combined receipts tax for this site 1,580 <br /> 3. Federal Taxes (per schedule C /D) <br /> 4. State Gambling Tax (per line 11) 3 <br /> d) Total Miscellaneous Deductions for this site I jg <br /> e) Line c - lined (3 SCE j <br /> f) Line e x 10% AMOUNT DUE <br /> • <br /> • <br />