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MINNESOTA DEPARTMENT OF REVENUE SCHEDULE A <br /> LAWFUL 6AMBLIN6 ACTIVITY RECEIPTS and EXPENSES PER PREMISE <br /> Organ.License Premise Number Premise Name Report Month/Year <br /> 03800 008 The Trio Inn MARCH 1999 <br /> (A) Gross (B) Prizes (C) Net <br /> 1 Bingo 0.00 0.00 0.00 <br /> 2 Raffles 0.00 0.00 0.00 <br /> 3 Paddletickets 0.00 0.00 0.00 <br /> 4 Income from Interest and Dividends 24.63 24.63 <br /> 5 SUB - TOTAL (Add Lines 1 through 4) 24.63 0.00 24.63 <br /> 6 Proportional Part of Last Month G -1 Line 7C 0.00 - -- 0.00 <br /> 7 Adjusted Sub -Total (Line 5 minus Line 6) . 24.63 0.00 24.63 <br /> 8 Tipboards 0.00 0.00 0.00 <br /> 9 Pulltabs 51,805.50 40,091.00 11,714.50 <br /> 10 TOTALS (Add Lines 7,8,9) 51,830.13 40,091.00 11,739.13 <br /> 18 Beginning Inventory (Last Month Line 21) . 566.45 <br /> 19 Gambling Equipment Obtained, with Sales Tax 817.75 <br /> 20 Goods Available (Line 18 plus Line 19) . . 1,384.20 <br /> 21 Ending Inventory 704.16 <br /> 22 Goods Used (Line 20 minus Line 21) 680.04 <br /> 23 Compensation and Payroll taxes 3,556.06 <br /> 24 Penalty or Interest on Taxes paid during the month . . . 0.00 <br /> 25 Advertising 0.00 <br /> 26 Accounting and Legal Services 267.00 <br /> 27 Bank Charges and Miscellaneous Supplies & Expenses . . . 11.84 <br /> 28 Purchase /Repair of Furnishings or Devices for Gambling . 25.00 <br /> 29 Rent for the Purpose of Conducting Lawful Gambling . . . 350.00 <br /> 30 Utilities 47.15 <br /> 31 Theft and Liability. Insurance 0.00 <br /> 32 Manager's Bond, Licenses, Local Fee, Premises Permit . . 0.00 <br /> 33 Cash Long( -) or Cash Short( +) 55.00 <br /> 34 DEPOSIT REQUIRED, Excess Cash Short Reimbursement( -) . . 0.00 <br /> 35 Deposited Amount, Excess Expense Reimbursement( -) 0.00 <br /> 36 TOTAL ALLOWABLE EXPENSES (Add Lines 22 through 35) . . . . .... . ... . 4,992.09 <br /> Line numbers correspond to the Tax Return (Form G -I) line numbers. <br /> Gss 10/94 <br />