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MAY 2 4 1999 <br /> CITY OF CENTERVILLE 192o IAa,#4 Ir. _ <br /> MONTHLY GAMBLING SUMMARY CEN E2tiLLG_ , Mt.l 5 _ 3 <br /> Organization Name LEAD 820K& SRCCLE. rl-U13 <br /> Gambling Location THE Tito (Nhi <br /> Month/Year 4 /qq <br /> TFN PERCENT NET PROFIT CALCULATION <br /> a) Net Receipts - Total lines 2c, 3c, 8c, 9c 5, (0og <br /> (per schedule A if more than 1 site) <br /> b) Sums of lines 22 thru 33 4, �1 <br /> (per schedule A if more than 1 site) <br /> c) Line a- line b i q Q <br /> Miscellaneous Deductions(for this site only) <br /> 1. Pulltab tax to distributor 390 <br /> 2. Combined receipts tax for this site �G4 <br /> 3. Federal Taxes (per schedule C /D) _ <br /> 4. State Gambling Tax (per line 11) <br /> d) Total Miscellaneous Deductions for this site 957 <br /> e) Line c - line d <br /> f) Line e x 10% AMOUNT DUE 0 <br />