Laserfiche WebLink
FEB. -04 '00 (FRI )12 ; 46 PREFERL 0�=F ' E 61-2 b2 8282 F. 0 4 <br /> State of Minnegata For Roarcl Use Only <br /> :wnb rr°. ant;rol Board Amt, pd <br /> re t e ��it�ne.Wal Application chack .� <br /> Data <br /> Initials <br /> 1..G'14 PPR Pri nlcd; 11/15/1999 <br /> License Number: 11-00330-001 fi' xfive Date: 4/1/1999 Exp imtion Date: 3/31/2000 <br /> Name of Organization,: H-dale Roseville Club <br /> Gain[iinji Information <br /> Name of the establishment where ganibl4ing wi111 '.:€� anr�cted <br /> H Dale Mens Club Nor: Our reoords show the premises <br /> 2100 N Dale St is loc wd within aw city lim iw <br /> Roseville, MN 55113 <br /> County; Ramsey <br /> Lessor Information <br /> Note:0urrecords indicatethatthc <br /> organ ization owns this premises <br /> Bin go Activity <br /> Our records indicate that Bingo is not cmducted on those )re rises, <br /> Sq.ffgar mntion <br /> Wink Injor ation <br /> Western Boo Gambling Bank <br /> Ron 64689 Account Number: 4036414 <br /> St. Paul, MN 55164 <br /> On the lines provided below list the namo,WTObs and Mir.fof a k4ist two persona authorized to sign abw-im and mekc depo'Siva and <br /> wid-Arnwak Fnr the gambling account. 1 io orgsn1xA!vn'iL-ca!34rer may ffit handic gambling funds. <br /> Name Address . City, Stag,Zip Code Title <br /> cr--Q^b lift <br /> . - "!4- S has us&-I. <br /> P,06+ P��3�r• <br /> J 1 6" w.mod <br /> 49 U 4 ' ti --�_... <br /> 21 Ila 02 <br /> R } w.�r«r thV 55,1 Ui6j <br /> 03e swre o Compute the reverse side of this application) <br /> This form will Ix mrsde available in alternative format(ic. h=r e r::#,l r �lfe u��r request. Page l of 2 (Confin ac on Back) <br />