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AE°R 2 1 1999 <br /> CITY OF CENTERVILLE <br /> MONTHLY GAMBLING SUMMARY <br /> Organization Name cEPrO (32DKE. Ci11;OLE e1.0 <br /> Gambling Location THE T21O IN�I <br /> MonthNear 3/0g <br /> TEN PERCFNT NET PROFIT CAI CIA ATIOM <br /> a) Net Receipts - Total fines 2c, 3c, 8c, 9c I I 1114 <br /> (per schedule A if more than 1 site) <br /> b) Sums of lines 22 thru 33 4,99 <br /> (per schedule A if more than 1 site) <br /> c) Line a - line b Cona <br /> Miscellaneous Deductians(for this site only) <br /> 1. Pulltab tax to distributor t,25"I <br /> 2. Combined receipts tax for this site 301S <br /> 3. Federal Taxes (per schedule CID) <br /> 4. State Gambling Tax (per line 11) 2 <br /> d) Total Miscellaneous Deductions for this site 4,334 <br /> e) Line c - lined 388 <br /> f) Line e x 10% AMOUNT Mild .234 <br /> • f f2 i*e® ✓r`l <br /> ma <br /> X47 ® -'0. 3 ZF <br />